MODULE – 11

Dr. Manjunath Hulmani, highlighted the growing concern of recalcitrant dermatophytosis (recalcitrant tinea) in India, describing it as a significant public health issue marked by extensive and recurrent fungal infections of the skin, hair, and nails. A key driver is the emergence of Trichophyton indotineae, often resistant to terbinafine due to genetic mutations.

...Read MoreHe identified indiscriminate use of topical corticosteroids, irregular treatment, and lifestyle factors such as obesity and high-calorie diets as major risk factors. These cases differ from routine infections by presenting with larger, more widespread lesions involving areas like the scalp and scrotum. Effective management requires prolonged systemic therapy, typically with itraconazole, along with lifestyle modification and strong patient counseling to ensure compliance and achieve complete mycological cure.