Onychomycosis in children – review on treatment and management strategies
Background Onychomycosis is an uncommon condition in children with increasing global prevalence. Health practitioners should confirm the diagnosis through mycology examination and examine family members of affected individuals for onychomycosis and tinea pedis. Objective To comprehensively summarize...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-04-01
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| Series: | Journal of Dermatological Treatment |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/09546634.2020.1810607 |
| _version_ | 1797683556957290496 |
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| author | Aditya K. Gupta Maanasa Venkataraman Neil H. Shear Vincent Piguet |
| author_facet | Aditya K. Gupta Maanasa Venkataraman Neil H. Shear Vincent Piguet |
| author_sort | Aditya K. Gupta |
| collection | DOAJ |
| description | Background Onychomycosis is an uncommon condition in children with increasing global prevalence. Health practitioners should confirm the diagnosis through mycology examination and examine family members of affected individuals for onychomycosis and tinea pedis. Objective To comprehensively summarize the treatment and management strategies for pediatric onychomycosis. Methods We performed a comprehensive literature search in the PubMed database to identify clinical studies on treatment for mycologically-confirmed dermatophyte onychomycosis in children <18 years. The exclusion criteria were combination therapy, case reports, reviews, systematic reviews and duplicate studies. Results Per-weight dosing regimens of systemic antifungal agents such as terbinafine, itraconazole, and fluconazole are found to be safe in children and are used off-label for the treatment of pediatric onychomycosis with high efficacy. Topical antifungal agents such as ciclopirox, efinaconazole, and tavaborole have established safety and efficacy in children. Children respond better than adults to topical therapy due to their thinner, faster growing nails. There is no data on the efficacy of medical devices for onychomycosis in children. Conclusion Efinaconazole topical solution 10% and tavaborole topical solution 5% are FDA approved for the treatment of onychomycosis in children ≥6 years; ciclopirox topical solution 8% nail lacquer is approved in children ≥12 years. |
| first_indexed | 2024-03-12T00:15:59Z |
| format | Article |
| id | doaj.art-627209fbd8bf4626bf849e3a0e4fe79b |
| institution | Directory Open Access Journal |
| issn | 0954-6634 1471-1753 |
| language | English |
| last_indexed | 2024-03-12T00:15:59Z |
| publishDate | 2022-04-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Dermatological Treatment |
| spelling | doaj.art-627209fbd8bf4626bf849e3a0e4fe79b2023-09-15T14:28:49ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532022-04-013331213122410.1080/09546634.2020.18106071810607Onychomycosis in children – review on treatment and management strategiesAditya K. Gupta0Maanasa Venkataraman1Neil H. Shear2Vincent Piguet3Department of Medicine, Division of Dermatology, University of TorontoMediprobe Research IncDepartment of Medicine, Division of Dermatology, University of TorontoDepartment of Medicine, Division of Dermatology, University of TorontoBackground Onychomycosis is an uncommon condition in children with increasing global prevalence. Health practitioners should confirm the diagnosis through mycology examination and examine family members of affected individuals for onychomycosis and tinea pedis. Objective To comprehensively summarize the treatment and management strategies for pediatric onychomycosis. Methods We performed a comprehensive literature search in the PubMed database to identify clinical studies on treatment for mycologically-confirmed dermatophyte onychomycosis in children <18 years. The exclusion criteria were combination therapy, case reports, reviews, systematic reviews and duplicate studies. Results Per-weight dosing regimens of systemic antifungal agents such as terbinafine, itraconazole, and fluconazole are found to be safe in children and are used off-label for the treatment of pediatric onychomycosis with high efficacy. Topical antifungal agents such as ciclopirox, efinaconazole, and tavaborole have established safety and efficacy in children. Children respond better than adults to topical therapy due to their thinner, faster growing nails. There is no data on the efficacy of medical devices for onychomycosis in children. Conclusion Efinaconazole topical solution 10% and tavaborole topical solution 5% are FDA approved for the treatment of onychomycosis in children ≥6 years; ciclopirox topical solution 8% nail lacquer is approved in children ≥12 years.http://dx.doi.org/10.1080/09546634.2020.1810607onychomycosischildrenpediatrictreatmentciclopirox 8%tavaborole 5%efinaconazole 10%management |
| spellingShingle | Aditya K. Gupta Maanasa Venkataraman Neil H. Shear Vincent Piguet Onychomycosis in children – review on treatment and management strategies Journal of Dermatological Treatment onychomycosis children pediatric treatment ciclopirox 8% tavaborole 5% efinaconazole 10% management |
| title | Onychomycosis in children – review on treatment and management strategies |
| title_full | Onychomycosis in children – review on treatment and management strategies |
| title_fullStr | Onychomycosis in children – review on treatment and management strategies |
| title_full_unstemmed | Onychomycosis in children – review on treatment and management strategies |
| title_short | Onychomycosis in children – review on treatment and management strategies |
| title_sort | onychomycosis in children review on treatment and management strategies |
| topic | onychomycosis children pediatric treatment ciclopirox 8% tavaborole 5% efinaconazole 10% management |
| url | http://dx.doi.org/10.1080/09546634.2020.1810607 |
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