What’s Evolving in Podiatric Dermatology: Research and Tools to Elevate Practice
Summary: Dr. Tracey Vlahovic’s case study reviews emerging tools/research: efinaconazole 10% for onychomycosis (13.6% cure in elderly), Brannock device for retronychia (half-size discrepancies cause trauma), nailfold videocapillaroscopy (NVC) for diabetic microvascular changes, and HPV in intractable plantar keratosis (IPK). These elevate podiatric dermatology by enabling precise diagnosis and treatment of conditions like DFUs/ulcers.
Key Highlights:
- Efinaconazole: 13.6% cure in elderly; compatible with gel polish for adherence.
- Brannock: Detects discrepancies causing nail trauma (e.g., retronychia case).
- NVC: Noninvasive microvascular screening in T2D for early nephropathy/ulcer risk.
- HPV in IPK: PCR confirms viral role; shifts to antivirals like cryotherapy.
- Insights: Interdisciplinary tools challenge paradigms for better diabetic skin care.
Keywords: podiatric dermatology, efinaconazole, NVC, HPV IPK, diabetic skin, Tracey Vlahovic