{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T12:57:51Z","timestamp":1790859471016,"version":"4.1.0"},"reference-count":60,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      <jats:italic>Trichophyton indotineae<\/jats:italic>\n                      has emerged as a significant novel species causing tinea corporis\/cruris\/faciei, with established endemicity in a few regions and potential for expanding endemic zones in future.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      We aimed to develop consensus on disease definitions, diagnosis and treatment of\n                      <jats:italic>T. indotineae<\/jats:italic>\n                      infection.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Relevant literature from 2017 onwards was analysed and presented to the panel of dermatology experts, followed by circulation of a structured Google questionnaire encompassing various aspects of systemic and topical treatment, including special scenarios. Repeat rounds with modified questions were conducted in domains where (75%) consensus was not achieved, till a maximum of three rounds. Disease definitions were arrived at by discussion among clinical experts. Mycological (diagnostic) guidelines were formulated by the expert mycology members through peer review of each other's drafts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The panel comprised 14 dermatologists, 2 mycologists and 1 pharmacologist. Disease definitions for clinical and research use are presented. KOH smear testing is recommended in clinically doubtful cases, whereas culture, antifungal susceptibility testing and sequencing are recommended for monitoring trends of prevalent species and drug susceptibility in specialized mycology laboratories. A total of 87 therapeutic questions were put to the 14 dermatologists. Key therapeutic recommendations include the use of itraconazole (ITZ) as a first\u2010line systemic agent and terbinafine (TRB) (higher dose) as a second line, switching systemic antifungal in case of inadequate response at 4\u2009weeks, use of prolonged treatment (till cure) and treatment of relapses with the same regimen as used for initial treatment. Recommendations for treatment monitoring and treatment in special scenarios such as paediatric patients, pregnancy, lactation, renal or hepatic dysfunction, cardiac failure and patients on topical\/systemic steroids or immunosuppressives are presented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The panel has made recommendations on clinical and diagnostic aspects of\n                      <jats:italic>T. indotineae<\/jats:italic>\n                      infections, which would improve patient outcomes and foster academic communication and research.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jdv.70693","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T12:16:52Z","timestamp":1790857012000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<scp>IADVL<\/scp>\n                    consensus recommendations on\n                    <i>Trichophyton indotineae<\/i>\n                    infections: Using modified Delphi method"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7020-7777","authenticated-orcid":false,"given":"Ananta","family":"Khurana","sequence":"first","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy Dr Ram Manohar Lohia Hospital and Atal Bihari Vajpayee Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jyothi","family":"Jayaraman","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy Father Muller Medical College  Mangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8697-1451","authenticated-orcid":false,"given":"Mohammad","family":"Adil","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy, Jawaharlal Nehru Medical College Aligarh Muslim University  Aligarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2028-7462","authenticated-orcid":false,"given":"Anuradha","family":"Chowdhary","sequence":"additional","affiliation":[{"name":"Medical Mycology Unit, Department of Microbiology Vallabhbhai Patel Chest Institute  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deblina","family":"Bhunia","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy M.G.M Medical College  Kishanganj Bihar India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1757-3406","authenticated-orcid":false,"given":"Kabir","family":"Sardana","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy Dr Ram Manohar Lohia Hospital and Atal Bihari Vajpayee Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konakanchi","family":"Venkata Chalam","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy Government Medical College  Vizianagaram India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivaprakash M.","family":"Rudramurthy","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhu","family":"Rengasamy","sequence":"additional","affiliation":[{"name":"Institute of Dermatology, Venereology and Leprosy Madras Medical College  Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manjunath","family":"Shenoy","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy Yenepoya Medical College  Mangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nayan Kumar H.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy GCS Medical College Hospital and Research Centre  Ahmedabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1765-4593","authenticated-orcid":false,"given":"Nibedita","family":"Patro","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy Hi\u2010Tech Medical College and Hospital  Bhubaneshwar Odisha India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nusrat","family":"Shafiq","sequence":"additional","affiliation":[{"name":"Clinical Pharma Unit, Department of Pharmacology Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7816-4230","authenticated-orcid":false,"given":"Shital","family":"Poojary","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy K. J Somaiya Medical College  Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8695-0282","authenticated-orcid":false,"given":"Shivani","family":"Bansal","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy All India Institute of Medical Sciences  Bathinda Punjab India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1959-0517","authenticated-orcid":false,"given":"Shyam","family":"Verma","sequence":"additional","affiliation":[{"name":"Consultant Dermatologist, Nirvan Skin Clinic  Makarpura Vadodara India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9912-0085","authenticated-orcid":false,"given":"Sunil","family":"Dogra","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.mycmed.2023.101383","article-title":"Trichophyton indotineae, from epidemiology to therapeutic","volume":"33","author":"Jabet A","year":"2023","journal-title":"J Mycol Med"},{"key":"e_1_2_14_3_1","doi-asserted-by":"crossref","first-page":"1582","DOI":"10.1111\/jdv.17241","article-title":"Emerging antifungal treatment failure of dermatophytosis in Europe: take care or it may become endemic","volume":"35","author":"Saunte DML","year":"2021","journal-title":"J Eur Acad Dermatol Venereol"},{"issue":"2","key":"e_1_2_14_4_1","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1111\/jdv.20752","article-title":"Antifungal resistance of the Trichophyton mentagrophytes\/Trichophyton interdigitale species complex: insights from the China antifungal Resistance Dermatophytes Surveillance 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