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

Journal of Cosmetic Dermatology May 26, 2021

El Attar Y, Eldeen MAS, Wahid RM, et al. - Researchers compared the following treatment modalities in terms of their efficacy in treating white piedra of the scalp: topical antifungal alone vs combined topical and oral antifungals. This study included 60 patients with white piedra of the scalp who were split into 3 groups, each comprising 20 patients. Topical clotrimazole was used to treat patients in Group A, and group B was treated with combined topical clotrimazole and oral itraconazole, and group C received combined topical clotrimazole and oral terbinafine. Complete clearance of infection was experienced by all patients. Thus, findings demonstrate the effectiveness of the three modalities for treating white piedra of the scalp. Combined use of topical and oral azoles was associated with the most rapid response.

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