Therapeutic Effectiveness of Oral Itraconazole for Cutaneous Sporotrichosis
Abstract
BACKGROUND: The effectiveness of some therapeutic modalities for cutaneous sporotrichosis may be changed depending on the individual and geographic characteristics, and the clinical type. Itraconazole has been known to be effective for it, however, there have been no standard and ideal guideline on the oral dosage and duration yet.
OBJECTIVE & METHODS: In this study, we evaluated the effectiveness of oral itraconazole in patients with cutaneous sporotrichosis in relation to dosage and clinical status. The observation of 17 patients with sporotrichosis were made retrospectively Oral itraconazole was administered at the dose of 200 mg daily in 15 adults over 18 years old and 100 mg in the other 2 children.
RESULTS: The duration for healing was within 30 days in 4 cases, within 60 days in 4 cases, within 90 days in 2 cases, within 120 days in 3 cases, and within 150 days of therapy in 2 cases. The average duration in all cases was 12.1 ± 8.6 weeks. Comparison our results to the previous reported one revealed that more shorter treatment time was needed in cases treated with 200 mg daily than that with 100 mg. There was no treatment failure by drug intolerance or resistance. The duration for healing was significantly shorter in the patient groups with prevalence duration more than 5 months, however there was not any significant difference in sex of patients, and the clinical types. The cases with the lesion on the face and cases with fixed type tended to be healed more rapidly than the others.
CONCLUSION: Oral itraconazole may be a safe and e(fictive antifungal agent for the treatment of cutaneous sporotrichosis in a daily dose of 200 mg for 3 months on the average. However, duration for healing could be influenced by the clinical status.
Keywords
Cutaneous sporotrichosis Oral itraconazole
KJMM
1998 December;3(2):172-178(7). Epub 2016 February 24
Copyright © 1998 by Korean Journal of Medical Mycology
Language
Korean/English
Author
Young-Ho Won; Department of Dermatology, Chonnam University Medical School, Kwangju, Korea
Seon-Do Jeon; Department of Dermatology, Chonnam University Medical School, Kwangju, Korea
Seong-Jin Kim; Department of Dermatology, Chonnam University Medical School, Kwangju, Korea
Seung-Chul Lee; Department of Dermatology, Chonnam University Medical School, Kwangju, Korea
Corresponding
Young-Ho Won, Department of Dermatology, Chonnam University Medical School, Kwangju, 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.
Young-Ho Won
Department of Dermatology, Chonnam University Medical School, Kwangju, Korea
Seon-Do Jeon
Department of Dermatology, Chonnam University Medical School, Kwangju, Korea
Seong-Jin Kim
Department of Dermatology, Chonnam University Medical School, Kwangju, Korea
Seung-Chul Lee
Department of Dermatology, Chonnam University Medical School, Kwangju, Korea
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