RESUMEN
Ringworm in cattle may cause an occupational skin disease in humans. Trichophyton verrucosum lead to a highly inflammatory fungal skin infection that is often misdiagnosed as bacterial disease and consequently mistreated with antibiotics. To establish the correct diagnosis, it is necessary to collect skin scales; in addition, a skin biopsy can be helpful. Deep dermatophyte infections by Trichophyton verrucosum can be treated effectively with oral terbinafine. In addition, it is necessary to pay careful attention to use suitable hygiene measures in the stables to protect against reinfection.
Asunto(s)
Tiña , Trichophyton , Animales , Bovinos , Agricultores , Humanos , Piel , Terbinafina , Tiña/diagnóstico , Tiña/tratamiento farmacológicoAsunto(s)
Carcinoma Basocelular/tratamiento farmacológico , Fotoquimioterapia/métodos , Neoplasias Cutáneas/tratamiento farmacológico , Anciano , Ácido Aminolevulínico , Carcinoma Basocelular/patología , Femenino , Humanos , Fármacos Fotosensibilizantes/uso terapéutico , Neoplasias Cutáneas/patología , Resultado del TratamientoRESUMEN
The term "deprescribing" refers to the systematic process of identifying, tapering, and discontinuing individually ineffective and/or potentially harmful drugs. Considering various aspects, the present review addresses the concept of "deprescribing" in the context of recommendations for use of systemic drugs contained in current dermatological guidelines. Overall, 16 sets of guidelines developed under the auspices of the German Society of Dermatology (DDG) were reviewed. Our analysis shows that many guidelines contain no or insufficient information in terms of deprescribing systemic drugs. We therefore propose that future guidelines and guideline updates should include standardized recommendations for discontinuation or dose adjustment of systemic therapies.