Practical aspects of treatment of superficial mycoses of the skin and cutaneous appendage



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Abstract

in recent years, the Russian Federation has seen an increase in the incidence of superficial mycoses of the skin, a change in the nature of the disease course and spectrum of its pathogens. At the same time, the imperfection of the nosological classification and nomenclature of pathogens is noted. Besides there is a deficit of modern methods for diagnosing and treating mycoses of the skin and cutaneous appendage. These facts determine the current need to update clinical guidelines and create guidelines for onychomycosis, scalp mycoses and skin mycoses. Currently, one of the most important problems in the treatment of skin mycoses is the development of resistance to antimycotics. In this regard, it is necessary to use drugs that reduce the risk of resistance. Amorolfine, as a morpholine, acts on two different enzymes (sterol Δ14 reductase and sterol Δ7-Δ8 isomerase) and is a possible therapeutic option for overcoming antifungal resistance.  It has a favorable safety profile and efficacy similar to other classes of antifungal agents. In this regard, it seems appropriate to include amorolfine in cream form in national clinical guidelines for the treatment of superficial cutaneous mycosis.

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About the authors

Alexey V. Samtsov

S.M. Kirov Military Medical Academy of the Russian Ministry of Defense

Author for correspondence.
Email: avsamtsov@mail.ru
ORCID iD: 0000-0002-9458-0872

MD, PhD, Dr. Sci. (Med.), Professor, Head of the Department of Skin and Veneral Diseases

Russian Federation, Saint Petersburg

Elena R. Araviiskaia

Academician I.P. Pavlov First St. Petersburg State Medical University

Email: arelenar@mail.ru
ORCID iD: 0000-0002-6378-8582
SPIN-code: 9094-9688

MD, Dr. Sci. (Med.), Professor

Russian Federation, 6/8, Lva Tolstogo street, St. Petersburg, 197089

Aida Guseykhanovna Gadzhigoroeva

Институт Красивых Волос

Email: aida2010@mail.ru
ORCID iD: 0000-0003-0489-0576

Alexander S. Dukhanin

Pirogov Russian National Research Medical University

Email: das03@rambler.ru
ORCID iD: 0000-0003-2433-7727
SPIN-code: 5028-6000

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow

Lubov Kotrekhova

Email: zurupalubov@inbox.ru
ORCID iD: 0000-0003-2995-4249

Nikolay N. Murashkin

Russian National Medical Research Center for Children's Health

Email: dg.kuptsova@gmail.com
ORCID iD: 0000-0003-2252-8570

д.м.н., профессор, руководитель НИИ детской дерматологии, заведующий отделением дерматологии и аллергологии, врач-дерматовенеролог, главный научный сотрудник

Russian Federation, Moscow

Alexey Tsykin

Email: clinderm11@gmail.com
ORCID iD: 0000-0001-5201-2984

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