Revista do Instituto de Medicina Tropical de São Paulo (Apr 2013)

[Article title missing]

  • André Luiz Rossetto,
  • Rosana Cé Bella Cruz,
  • Vidal Haddad Junior

Journal volume & issue
Vol. 55, no. 2
pp. 125 – 128

Abstract

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The authors report a case of bilateral Tinea nigra plantaris treated through a double-blind study with the topical antifungal agents Isoconazole and Terbinafine. The objective of the study was to clinically compare the efficacy of these two topical antifungal agents on days 10, 20 and 30 of the treatment. No significant clinical differences were found, as all the plantar lesions regressed completely by the end of the treatment. Our conclusion was that in the case reported, the topical antifungal agents Isoconazole and Terbinafine demonstrated identical efficacy as a clinical cure. We also suggest the inclusion of injuries caused by arthropods of the Diplopoda Class in the differential diagnosis of Tinea nigra plantaris, due to the persistent acral hyperpigmentation.Os autores relatam um caso de Tinea nigra plantaris bilateral tratado através de um estudo duplo cego com os antifúngicos tópicos isoconazol e terbinafina. O objetivo do estudo foi comparar clinicamente a eficácia entre esses dois antifúngicos tópicos aos dias 10, 20 e 30 do tratamento, sendo que não foram observadas diferenças clínicas significativas, uma vez que todas as lesões plantares regrediram completamente no final do tratamento. Nossa conclusão foi que os antifúngicos tópicos isoconazol e terbinafina demonstraram a mesma eficácia na cura clínica do caso relatado. Adicionalmente, é sugerida a inclusão dos acidentes causados por artrópodos da Classe Diplopoda no diagnóstico diferencial com a Tinea nigra plantaris devido a hiperpigmentação acral persistente.

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