Differentiating superficial fungal infection from eczema using a heated dynamic-headspace skin VOC sampler: a hypothesis - Report - MDSpire

Differentiating superficial fungal infection from eczema using a heated dynamic-headspace skin VOC sampler: a hypothesis

  • By

  • Janmesh D. Patel

  • Pooja Shet

  • Mitchell M. McCartney

  • Sara Dahle

  • Apra Sood

  • Cristina E. Davis

  • Rivkah Isseroff

  • June 23, 2026

  • 0 min

Share

Clinical Report: Distinguishing Superficial Fungal Infections from Eczema

Background

Superficial fungal infections and eczematous dermatitis share overlapping clinical features, complicating accurate diagnosis and leading to inappropriate treatments. Mismanagement can exacerbate conditions. A rapid, non-invasive diagnostic tool is needed to improve differentiation at the point of care.

Data Highlights

No numerical data or trial results were provided in the source material.

Key Findings

  • Superficial fungal infections and eczema exhibit distinct skin volatile organic compound profiles.
  • Fungal lesions are influenced by organism-specific metabolic pathways, while eczema is affected by barrier impairment and oxidative stress.
  • Current diagnostic methods, such as KOH microscopy and fungal culture, have limitations including operator variability and turnaround time.
  • A heated dynamic headspace sampling method can enhance the detection of semi-volatile compounds.
  • Validation of skin volatile profiling could support confirmatory testing.

Clinical Implications

Further research is necessary to validate this approach in clinical settings.

Conclusion

Future studies are essential to establish the clinical relevance of this approach.

Related Resources & Content

  1. Infection, Assessment of a Laboratory-Developed Real-Time PCR Method for Identifying Fungal Pathogens, 2020 -- https://link.springer.com/article/10.1007/s15010-020-01395-7
  2. Infection, Utilizing Computed Tomography-Guided Percutaneous Lung Biopsies for the Diagnosis of Filamentous Fungal Infections in Immunocompromised Individuals: Insights from a 12-Year Study, 2017 -- https://link.springer.com/article/10.1007/s15010-017-1072-6
  3. Infection, Rare cases of dermatomycosis linked to Nannizzia nana: Investigating the geophilic source of human infections, 2020 -- https://link.springer.com/article/10.1007/s15010-020-01416-5
  4. Clinical Overview of Ringworm | Ringworm | CDC -- https://www.cdc.gov/ringworm/hcp/clinical-overview/?utm_source=openai
  5. Overview of Dermatophytoses - Dermatology - Merck Manual Professional Edition -- https://www.merckmanuals.com/en-pr/professional/dermatologic-disorders/fungal-skin-infections/overview-of-dermatophytoses
  6. Atopic eczema in under 12s: diagnosis and management - NCBI Bookshelf -- https://www.ncbi.nlm.nih.gov/books/NBK571009/
  7. European Guideline (EuroGuiDerm) on atopic eczema: Living update - Wollenberg - 2025 - Journal of the European Academy of Dermatology and Venereology - Wiley Online Library -- https://onlinelibrary.wiley.com/doi/full/10.1111/jdv.20639?utm_source=openai
  8. Diagnosis and Management of Tinea Infections | AAFP -- https://www.aafp.org/pubs/afp/issues/2025/1000/tinea-infections.pdf
  9. Infection — Assessment of a Laboratory-Developed Real-Time PCR Method for Identifying Fungal Pathogens
  10. Infection — Utilizing Computed Tomography-Guided Percutaneous Lung Biopsies for the Diagnosis of Filamentous Fungal Infections in Immunocompromised Individuals: Insights from a 12-Year Study
  11. Infection — Rare cases of dermatomycosis linked to Nannizzia nana: Investigating the geophilic source of human infections
  12. The Journal of Infectious Diseases — Use of Intravaginal Cooling to Provide Symptom Relief in Women With Vulvovaginal Candidiasis and Reduce Immunopathology in an Accompanying Mouse Model
  13. Clinical Overview of Ringworm | Ringworm | CDC
  14. Overview of Dermatophytoses - Dermatology - Merck Manual Professional Edition
  15. Atopic eczema in under 12s: diagnosis and management - NCBI Bookshelf
  16. European Guideline (EuroGuiDerm) on atopic eczema: Living update - Wollenberg - 2025 - Journal of the European Academy of Dermatology and Venereology - Wiley Online Library
  17. Diagnosis and Management of Tinea Infections | AAFP
  18. Diagnostic Performance of a PCR‐Based Approach for the Diagnosis of Dermatomycosis - PMC
  19. A Prospective Cohort Study Comparing Microscopy and Culture in the Diagnosis of Superficial Fungal Skin Infections - PubMed
  20. Monocentric evaluation of the Novaplex dermatophyte multiplex qPCR assay in the diagnosis of dermatophytoses - PMC
  21. Histochemistry Testing for Cutaneous Fungal Infections: A Meta‐Analysis - Vadali - 2025 - Journal of Cutaneous Pathology - Wiley Online Library
  22. A device for volatile organic compound (VOC) analysis from skin using heated dynamic headspace sampling - PMC
  23. First Step on the Way to Identify Dermatophytes Using Odour Fingerprints - PubMed
  24. Monitoring Skin Volatile Emissions Using Wearable Sensors | Annual Reviews

Original Source(s)

Related Content