The Efficacy and Safety of Short-term Therapy with Itraconazole Melt-Extrusion Tablet in The Hyperkeratotic Type of Tinea Pedis and/or Tinea Manus
Abstract
BACKGROUND: The many antifungal agents have been used in fungal infections. In usual trial agents, itraconazole still remains difficult to absorption in gastrointestinal tract.
OBJECTIVE: The purpose of this study is to evaluate the clinical efficacy and adverse reactions of short-term itraconazole melt-extrusion tablet increased in hyperkeratotic type of tinea pedis and/or tinea mauns.
METHODS: From November 1998 to February 1999, a total of 60 patients with palmoplantar type of tinea pedis and/or tinea manus at Department of Dermatology of 5 general hospital, were enrolled in a subject group for the study. Itraconazole melt-extrusion tablet was administered, 200mg twice daily, in one week. Clinical symptoms and signs with mycological findings were assessed.
RESULTS: Fifty-six patients (male 33, female 23; mean age 36.1 ± 10.7; mean duration 6.5 ± 4.8) completed the follow-ups. Direct KOH smear examination was positive in all them. Decrease in initial percentages of patients showing symptoms at the last follow-up 2 months after starting therapy: for scale, from 100% to 85.4%; for ertyema, from 91.1% to 10.7%; for hyperkeratosis from 100% to 32.3%; for pruritus, from 82.1% to 10.7%. Mycologic cure rate was 92.9% at the last follow-up. Overall clinical responses evaluated at the last follow-up were 'cured' in 6 pathients (10.7%), 'markedly improved' in 38 patiendts (67.9%), making a clinical response rate of 78.6%. During therapy, transient epigastria pain and indigeastion developed in 5 patients (8.9%).
CONCLUSION: With these results, itraconazole melt-extrusion table is considered an effective and safe treatment modality for hyperkeratotic type of tinea pedis and/or tinea manus.
Keywords
Itraconazole melt-extrusion tablet Short-term therapy Tinea manus Tinea pedis
KJMM
2000 March;5(1):13-19(7). Epub 2016 February 22
Copyright © 2000 by Korean Journal of Medical Mycology
Language
Korean/English
Author
Kyung Sool Kwon; Department of Dermatology, Pusan National University Hospital, Korea
Sang Tae Kim; Department of Dermatology, Kosin Medical College Gospel Hospital, Korea
Chul Hyun Ahn; Department of Dermatology, Daedong Hospital, Korea
Jang Soo Lee; Department of Dermatology, Pusan Medical Center, Korea
Ho Seok Suh; Department of Dermatology, Ulsan University Hospital, Korea
Chea Wook Lee; Department of Dermatology, Pusan National University Hospital, Korea
Jae Young Lim; Department of Dermatology, Pusan National University Hospital, Korea
Chang Keun Oh; Department of Dermatology, Pusan National University Hospital, Korea
Ho Sun Jang; Department of Dermatology, Pusan National University Hospital, Korea
Corresponding
Kyung Sool Kwon, Department of Dermatology, Pusan National University Hospital, Korea.
Publication history
Acknowledgements
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Kyung Sool Kwon
Department of Dermatology, Pusan National University Hospital, Korea
Sang Tae Kim
Department of Dermatology, Kosin Medical College Gospel Hospital, Korea
Chul Hyun Ahn
Department of Dermatology, Daedong Hospital, Korea
Jang Soo Lee
Department of Dermatology, Pusan Medical Center, Korea
Ho Seok Suh
Department of Dermatology, Ulsan University Hospital, Korea
Chea Wook Lee
Department of Dermatology, Pusan National University Hospital, Korea
Jae Young Lim
Department of Dermatology, Pusan National University Hospital, Korea
Chang Keun Oh
Department of Dermatology, Pusan National University Hospital, Korea
Ho Sun Jang
Department of Dermatology, Pusan National University Hospital, Korea
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