Preventing Long-Term Relapsing Tinea Unguium with Topical Anti-Fungal Cream: A Case Report
Author Information
Author(s): Bruce Arroll, Amanda Oakley
Primary Institution: University of Auckland
Hypothesis
Can topical miconazole cream prevent long-term relapses of tinea unguium?
Conclusion
The patient has not experienced any clinical relapse of tinea unguium after using once-weekly miconazole cream for four years.
Supporting Evidence
- Oral antifungal medications often lead to relapses after treatment.
- Topical antifungal agents have high in vitro cure rates but are rarely curative in vivo.
- The patient had multiple relapses despite various oral treatments over 27 years.
Takeaway
A doctor had a toenail fungus that kept coming back, but after using a special cream once a week, he hasn't had any problems for four years.
Methodology
The patient applied miconazole cream once a week to the affected toenail and toe clefts.
Potential Biases
Potential bias due to the lack of a control group and reliance on self-reported outcomes.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
{"age":34,"sex":"Male","ethnicity":"Caucasian","occupation":"Doctor","weight":"90 kg","height":"1.87 m"}
Digital Object Identifier (DOI)
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