{"title":"改良体癣评分（mTCS）与体癣评分（TCS）：一项比较、非干预性验证研究。","authors":"Sajahan Nihaa-Jabeen, Papishetty Prathyusha, Santhebachalli Gurumurthy Chethana, Padubidri Kombettu Ashwini, Shankar Bharathi Ashwini, Shastry Veeranna, Garehatty Rudrappa Kanthraj","doi":"10.1111/myc.70018","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Tinea corporis (TC) is a common fungal infection affecting 20%-25% of the global population. Though diagnosing TC is straightforward, treatment has become challenging due to the use of certain medications and lack of follow-up, leading to resistance. Andrea et al. proposed Tinea Corporis Score (TCS) to assess and provide follow-up care for TC. However, double tracing was its limitation. We proposed modified Tinea Corporis Score (mTCS) to overcome this limitation.</p><p><strong>Aims and objectives: </strong>To compare mTCS with TCS and validate it.</p><p><strong>Methodology: </strong>A comparative, noninterventional validation study was conducted over 18 months at the Department of Dermatology, JSS Hospital, JSSAHER. 140 out of the initially enrolled 182 patients were included. The Researchers 1 and 2 measured the area of involvement by mTCS and TCS, respectively, during baseline and follow-up.</p><p><strong>Results: </strong>There was a significant difference in the mean areas calculated (mTCS<TCS) during the baseline and first follow-up (p value < 0.05). The total scores calculated also showed a significant difference in mean during baseline (mTCS<TCS) and second follow-up (mTCS>TCS) (p value < 0.05). Both methods showed a positive correlation. However, mTCS was found to be less time-consuming (p value < 0.05) than TCS.</p><p><strong>Conclusion: </strong>Both mTCS and TCS had a positive correlation and were found to be equally effective. However, mTCS took significantly less time, while overcoming tracing errors by measuring direct capture of preset grid images suggesting it to be a better alternative. These findings validate mTCS over TCS for better and faster evaluation of TC for good follow-up care and patient-tailored treatment.</p>","PeriodicalId":18797,"journal":{"name":"Mycoses","volume":"68 1","pages":"e70018"},"PeriodicalIF":4.1000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Modified Tinea Corporis Score (mTCS) Versus Tinea Corporis Score (TCS): A Comparative, Noninterventional Validation Study.\",\"authors\":\"Sajahan Nihaa-Jabeen, Papishetty Prathyusha, Santhebachalli Gurumurthy Chethana, Padubidri Kombettu Ashwini, Shankar Bharathi Ashwini, Shastry Veeranna, Garehatty Rudrappa Kanthraj\",\"doi\":\"10.1111/myc.70018\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Tinea corporis (TC) is a common fungal infection affecting 20%-25% of the global population. Though diagnosing TC is straightforward, treatment has become challenging due to the use of certain medications and lack of follow-up, leading to resistance. Andrea et al. proposed Tinea Corporis Score (TCS) to assess and provide follow-up care for TC. However, double tracing was its limitation. We proposed modified Tinea Corporis Score (mTCS) to overcome this limitation.</p><p><strong>Aims and objectives: </strong>To compare mTCS with TCS and validate it.</p><p><strong>Methodology: </strong>A comparative, noninterventional validation study was conducted over 18 months at the Department of Dermatology, JSS Hospital, JSSAHER. 140 out of the initially enrolled 182 patients were included. The Researchers 1 and 2 measured the area of involvement by mTCS and TCS, respectively, during baseline and follow-up.</p><p><strong>Results: </strong>There was a significant difference in the mean areas calculated (mTCS<TCS) during the baseline and first follow-up (p value < 0.05). The total scores calculated also showed a significant difference in mean during baseline (mTCS<TCS) and second follow-up (mTCS>TCS) (p value < 0.05). Both methods showed a positive correlation. However, mTCS was found to be less time-consuming (p value < 0.05) than TCS.</p><p><strong>Conclusion: </strong>Both mTCS and TCS had a positive correlation and were found to be equally effective. However, mTCS took significantly less time, while overcoming tracing errors by measuring direct capture of preset grid images suggesting it to be a better alternative. These findings validate mTCS over TCS for better and faster evaluation of TC for good follow-up care and patient-tailored treatment.</p>\",\"PeriodicalId\":18797,\"journal\":{\"name\":\"Mycoses\",\"volume\":\"68 1\",\"pages\":\"e70018\"},\"PeriodicalIF\":4.1000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Mycoses\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/myc.70018\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DERMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Mycoses","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/myc.70018","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DERMATOLOGY","Score":null,"Total":0}
Modified Tinea Corporis Score (mTCS) Versus Tinea Corporis Score (TCS): A Comparative, Noninterventional Validation Study.
Background: Tinea corporis (TC) is a common fungal infection affecting 20%-25% of the global population. Though diagnosing TC is straightforward, treatment has become challenging due to the use of certain medications and lack of follow-up, leading to resistance. Andrea et al. proposed Tinea Corporis Score (TCS) to assess and provide follow-up care for TC. However, double tracing was its limitation. We proposed modified Tinea Corporis Score (mTCS) to overcome this limitation.
Aims and objectives: To compare mTCS with TCS and validate it.
Methodology: A comparative, noninterventional validation study was conducted over 18 months at the Department of Dermatology, JSS Hospital, JSSAHER. 140 out of the initially enrolled 182 patients were included. The Researchers 1 and 2 measured the area of involvement by mTCS and TCS, respectively, during baseline and follow-up.
Results: There was a significant difference in the mean areas calculated (mTCSTCS) (p value < 0.05). Both methods showed a positive correlation. However, mTCS was found to be less time-consuming (p value < 0.05) than TCS.
Conclusion: Both mTCS and TCS had a positive correlation and were found to be equally effective. However, mTCS took significantly less time, while overcoming tracing errors by measuring direct capture of preset grid images suggesting it to be a better alternative. These findings validate mTCS over TCS for better and faster evaluation of TC for good follow-up care and patient-tailored treatment.
期刊介绍：
The journal Mycoses provides an international forum for original papers in English on the pathogenesis, diagnosis, therapy, prophylaxis, and epidemiology of fungal infectious diseases in humans as well as on the biology of pathogenic fungi.
Medical mycology as part of medical microbiology is advancing rapidly. Effective therapeutic strategies are already available in chemotherapy and are being further developed. Their application requires reliable laboratory diagnostic techniques, which, in turn, result from mycological basic research. Opportunistic mycoses vary greatly in their clinical and pathological symptoms, because the underlying disease of a patient at risk decisively determines their symptomatology and progress. The journal Mycoses is therefore of interest to scientists in fundamental mycological research, mycological laboratory diagnosticians and clinicians interested in fungal infections.
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