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标题:Onychomycosis: Treatment and prevention of recurrence.
时间:2020-01-15 13:16:18
DOI:10.1016/j.jaad.2018.05.1260
PMID:29959962
作者:Lipner Shari R.; Scher Richard K.
关键词:onychomycosis;fungal nail infection;treatment;complete cure;mycological cure;clinical cure;terbinafine;itraconazole;fluconazole;pulse dosing
出版源: 《Journal of the American Academy of Dermatology》 :S019096221832187X-
摘要:Onychomycosis is a fungal nail infection caused by dermatophytes, non-dermatophytes, and yeast and is the most common nail disorder seen in clinical practice. It is an important problem, as it may cause local pain, paresthesias, difficulties performing activities of daily life, and impair social interactions. The epidemiology, risk factors, and clinical presentation and diagnosis of onychomycosis were discussed in the first article in this continuing medical education series. In this article, we review the prognosis and response to onychomycosis treatment, Food and Drug Administration approved medications for onychomycosis, as well as, off-label therapies and devices. Methods to prevent onychomycosis recurrences and emerging therapies are also described.
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页数:16 PAGES
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目录:
  • Onychomycosis
    • Treatment and prevention of recurrence
    • Overview of treatment
      • Prognosis and response to treatment
      • Systemic treatments approved by the FDA
        • Terbinafine
        • Itraconazole
      • Off-label systemic treatments
        • Fluconazole
        • Terbinafine pulse dosing
        • Booster therapy
        • Systemic treatment of onychomycosis in children
      • Topical treatments approved by the FDA
        • Ciclopirox
        • Efinaconazole
        • Tavaborole
        • Topical treatment of onychomycosis in children
      • Laser therapy
      • Treatments in development
        • Photodynamic therapy
        • Plasma therapy
        • Other treatments
    • Prevention of recurrence
    • References
  • Answers to CME examination

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