关键词: chromoblastomycosis emergomycosis endemic mycoses eumycetoma fungal infections implantation mycoses lobomycosis neglected tropical diseases outcomes paracoccidioidomycosis sporotrichosis systemic mycoses talaromycosis therapeutics

来  源:   DOI:10.1016/j.jaad.2024.03.057

Abstract:
In this part 2 of a 2-part continuing medical education series, the management, outcomes, and morbidities for fungal skin neglected tropical diseases (NTDs), including eumycetoma, chromoblastomycosis, paracoccidioidomycosis, sporotrichosis, emergomycosis, talaromycosis, and lobomycosis are reviewed. While fungal skin NTDs are associated with poverty in resource-limited settings, they are more often associated with immunosuppression and global migration in the United States. These infections have a high morbidity burden, including disfigurement, physical disability, coinfection, malignant transformation, mental health issues, and financial impact. For most fungal skin NTDs, management is difficult and associated with low cure rates. Dermatologists play a central role in initiating appropriate treatment early in disease course in order to improve patient outcomes.
摘要:
在由两部分组成的继续医学教育系列的第二部分中,管理层,结果,和真菌皮肤被忽视的热带病(NTDs)的发病率,包括Eumycetoma,成色真菌病,副角菌病,孢子丝菌病,真菌病,塔拉真菌病,对叶真菌病进行了综述。虽然在资源有限的环境中,真菌皮肤NTD与贫困有关,在美国,它们更经常与免疫抑制和全球移民有关。这些感染有很高的发病率负担,包括毁容,身体残疾,共感染,恶性转化,心理健康问题,和财务影响。对于大多数真菌皮肤NTDs,管理困难,治愈率低。皮肤科医生在疾病早期启动适当治疗以改善患者预后方面发挥着核心作用。
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