White Piedra, a Rare Superficial Mycosis: an Update

Robles‐Tenorio, Arturo; Lepe-Moreno, Kenia Yolanda; Mayorga-Rodríguez, Jorge

doi:10.1007/s12281-020-00389-0

Cited by 7 publications

(24 citation statements)

References 31 publications

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“…6 Topical antifungals will fail to achieve significant therapeutic concentrations in the intrafollicular portions of the hair that harbor the fungus. 1 In resistant cases, a combination of oral and topical azole antifungals was recommended in order to enhance the therapeutic response and reduce the recurrence rates. 3 Other topical antifungals have been tried, for example, ciclopiroxolamine, selenium sulfide, sulfur, zinc pyrithione, and amphotericin B solution.…”

Section: Discussionmentioning

confidence: 99%

“…16 Several case series have discussed the treatment of scalp WP, but studies with therapeutic recommendations and comparative assessment are not yet available. 1 In this clinical study, we tried to compare the efficacy of topical azole antifungal alone versus its combination with either oral azole or oral terbinafine in the treatment of scalp WP. All the patients The concomitant use of topical and oral azole has shortened the length of antifungal treatment and overcome the need for prolonged application of topical therapy.…”

Section: Discussionmentioning

confidence: 99%

“…Eradication of scalp piedra is difficult. Topical azole antifungals are frequently used as first line agents in WP; however, persistent infection after topical therapy is not uncommon 1,3 . Recurrence may occur in patients who maintain the same habits that increase hair moisture or reutilize their infected combs.…”

Section: Discussionmentioning

confidence: 99%

“…Roshan et al 8 reported the successful use of topical terbinafine 1% in the treatment of scalp WP in a mother and her daughter; but to date, no studies have examined the role of oral terbinafine in WP 16 . Several case series have discussed the treatment of scalp WP, but studies with therapeutic recommendations and comparative assessment are not yet available 1 …”

Section: Discussionmentioning

confidence: 99%

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mentioning

confidence: 99%

See 4 more Smart Citations

Efficacy of topical vs combined oral and topical antifungals in white piedra of the scalp

Attar

Eldeen

Wahid

et al. 2020

J of Cosmetic Dermatology

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White piedra (WP) of the scalp is a superficial mycotic infection of the hairs frequently reported in tropical humid regions as Southeast Asia, South America, and Middle East. 1 The majority of cases occur in children and young adult females. 2 It is characterized clinically by the presence of multiple whitish soft nodules along the hair shafts. The patients may also present with dry lusterless hair, hair breakage, and frayed ends. 3 Direct microscopic examination and culture of infected hair enable a definitive diagnosis to be made. 4 Treatment of scalp WP is challenging as eliminating the fungus through cutting the hair is not always acceptable by the patients. Moreover, lack of response and post-treatment relapse is frequently encountered after topical antifungal therapy. 3 Persistent infection is more common in patients with long hair and those who reutilize their infected hairbrushes. 5 It was also hypothesized that the organism may cause penetration of the hair cuticle by its keratolytic activity, which

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%