Non‐dermatophytes in onychomycosis of the toenails

作者: D.H. ELLIS , A.B. WATSON , J.E. MARLEY , T.G. WILLIAMS

DOI: 10.1046/J.1365-2133.1997.D01-1222.X

关键词: MedicineNail (anatomy)Randomized controlled trialDermatologyTerbinafinePlaceboArthrodermataceaeDermatophyteMycosisClinical trial

摘要: A multicentre trial for the treatment of dermatophyte onychomycosis toenails with terbinafine was carried out in Australia and New Zealand. Between eight 12 nail samples were obtained from each 118 patients 48-week trial, sample investigated by direct microscopy culture non-dermatophyte fungi. Patients randomized to at 250 mg/day or placebo first weeks study, then non-responders offered a 12-week course week 28. All had infection. In 42 (36%) mycological identified dermatophytes alone. remaining 76 (64%), mould yeast also isolated some stage during but only three did same persist two more successive specimens. The presence fungal contaminant addition no apparent effect on efficacy terbinafine. We conclude that moulds yeasts are generally found as contaminating organisms onychomycosis, secondary dermatophytes, they do not influence outcome treatment.

参考文章(5)
Gillian Midgley, Mary K. Moore, Jane C. Cook, Q.G. Phan, Mycology of nail disorders Journal of the American Academy of Dermatology. ,vol. 31, pp. S68- S74 ,(1994) , 10.1016/S0190-9622(08)81272-8
DONALD L. GREER, Evolving role of nondermatophytes in onychomycosis. International Journal of Dermatology. ,vol. 34, pp. 521- 524 ,(1995) , 10.1111/J.1365-4362.1995.TB02942.X
John Marley, David Ellis, Tony Williams, Terbinafine in onychomycosis of the toenail: A novel treatment protocol Journal of The American Academy of Dermatology. ,vol. 33, pp. 775- 779 ,(1995) , 10.1016/0190-9622(95)91815-9
H. C. WILLIAMS, The epidemiology of onychomycosis in Britain. British Journal of Dermatology. ,vol. 129, pp. 101- 109 ,(1993) , 10.1111/J.1365-2133.1993.TB03510.X