Resistant Dermatophytosis: A Stubborn Habit and Major Challenge in Iraq

Dermatophytosis is a common infective cutaneous dermatosis seen in dermatology outpatient clinics. It developed in response to a superficial mycological infection involving the skin, hair, and nails. Superficial fungal infection affects 20-25% of all over the world. The disease is caused by dermatophytes, also termed ringworms or tinea [1]. Resistant dermatophytosis is characterized by persistent infection or recurrence within four weeks after a suitable dose of oral azole and allylamine antifungal drugs. It is running a long-lasting course with episodes of exacerbations and remissions [2, 3]. Dermatophytosis is characterized by an erythematous, pruritic, flat, white, or brown plaque with a ring-like active border that produces abundant powdery scales when scraped (Figure 1). It is categorized according to the involved locations, for example, tinea corporis indicates infection of the trunk or limbs, tinea cruris (inguinal or perianal area); and tinea manuum refers to dermatophytosis of the hand [4].