{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T02:42:11Z","timestamp":1782960131330,"version":"3.54.5"},"reference-count":32,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T00:00:00Z","timestamp":1661385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Mycoses"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There has been an emergence of recalcitrant, recurrent, and difficult\u2010to\u2010treat tinea. Monotherapy with oral antifungals leads to partial clearance or high recurrence of lesions. Isotretinoin is a good adjuvant to systemic antifungals in chronic dermatophytosis. Voriconazole could be a future alternative due to its efficacy against dermatophytes and little resistance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the efficacy and safety of oral itraconazole, combined itraconazole\/isotretinoin therapy, and voriconazole for recalcitrant tinea.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>This study included 90 patients with chronic, recurrent and\/or recalcitrant tinea. They were equally divided into three groups: itraconazole monotherapy, combined itraconazole\/isotretinoin therapy, and voriconazole monotherapy. All patients received treatments for 6\u2009weeks. The clinical response was classified as either a complete or incomplete clinical cure. Potassium hydroxide microscopy and culture were performed to identify mycological cure. Patients with complete cure were followed up for another 6\u2009months to detect any recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Complete clinical cure was observed in 53.3% of the itraconazole group, 70% of the itraconazole\/isotretinoin group, and 83.3% of the voriconazole group. Mycological cure was detected in 56.7% of the itraconazole group, 83.3% of the itraconazole\/isotretinoin group, and 86.7% of the voriconazole group. There was a statistically significant difference between the three groups in favour of voriconazole, then the combined group. No significant adverse effects were observed. The recurrence rate was significantly lower in the voriconazole group compared with the other two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Voriconazole could be a future alternative for the treatment of recalcitrant dermatophytosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/myc.13517","type":"journal-article","created":{"date-parts":[[2022,8,9]],"date-time":"2022-08-09T14:59:41Z","timestamp":1660057181000},"page":"1194-1201","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Voriconazole is superior to combined itraconazole\/isotretinoin therapy and itraconazole monotherapy in recalcitrant dermatophytosis"],"prefix":"10.1111","volume":"65","author":[{"given":"Fathia","family":"Khattab","sequence":"first","affiliation":[{"name":"Dermatology, Venereology and Andrology Department, Faculty of Medicine Zagazig University  Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8813-8463","authenticated-orcid":false,"given":"Basma M.","family":"Elkholy","sequence":"additional","affiliation":[{"name":"Dermatology, Venereology and Andrology Department, Faculty of Medicine Zagazig University  Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Taha","sequence":"additional","affiliation":[{"name":"Medical Microbiology Department, Faculty of Veterinary medicine Zagazig University  Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aya","family":"Abd\u2010Elbaset","sequence":"additional","affiliation":[{"name":"Dermatology, Venereology and Andrology Department, Faculty of Medicine Zagazig University  Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manal","family":"Fawzy","sequence":"additional","affiliation":[{"name":"Dermatology, Venereology and Andrology Department, Faculty of Medicine Zagazig University  Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,25]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1439-0507.2008.01606.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11046-017-0114-z"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jobm.201900675"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.4103\/CDR.CDR_39_17"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/myc.12878"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/2229-5178.178099"},{"issue":"10","key":"e_1_2_10_8_1","first-page":"1415","article-title":"Common tinea infections in children","volume":"77","author":"Andrews MD","year":"2008","journal-title":"Am Fam Physician"},{"key":"e_1_2_10_9_1","first-page":"11","article-title":"Role of itraconazole pulse therapy with adjuvant isotretinoin in treating recurrent and recalcitrant dermatophytosis","volume":"26","author":"Rahman MH","year":"2019","journal-title":"Gulf J Dermatol Venereol"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.leu.2402899"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0053479"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00430-014-0351-4"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.2147\/DDDT.S93985"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.01874-20"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/ph14100962"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.2147\/DDDT.S69946"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/myc.13424"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.4103\/0378-6323.183632"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.47648\/zhswmcj.2020.v0201.01"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/dth.14014"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11046-015-9902-5"},{"key":"e_1_2_10_22_1","first-page":"52","volume-title":"Fungal Infections: Diagnosis and Treatment","author":"Mahajan K","year":"2017"},{"key":"e_1_2_10_23_1","first-page":"80","volume-title":"IADVL Manual on Management of Dermatophytoses","author":"Sardana K","year":"2018"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12895-018-0073-1"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1006843418759"},{"key":"e_1_2_10_26_1","volume-title":"Clinicomycological Study of Dermatophytic Infections in a Teritary Care Hospital, Assessment of Risk Factors Causing Chronic Dermatophytic Infections and Anti Fungal Susceptibility to Terbinafine and Itraconazole in the Same Population","author":"George MM","year":"2020"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/17512433.2017.1263564"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/09546634.2019.1612835"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.19146"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijp.IJP_578_17"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.18231\/j.ijced.2020.047"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/ced.14799"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijdvl.IJDVL_224_17"}],"container-title":["Mycoses"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/myc.13517","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/myc.13517","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/myc.13517","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T04:23:26Z","timestamp":1692678206000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/myc.13517"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,25]]},"references-count":32,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["10.1111\/myc.13517"],"URL":"https:\/\/doi.org\/10.1111\/myc.13517","archive":["Portico"],"relation":{},"ISSN":["0933-7407","1439-0507"],"issn-type":[{"value":"0933-7407","type":"print"},{"value":"1439-0507","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,25]]},"assertion":[{"value":"2022-04-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}