Tinea Corporis Treatment

• cutaneous dermatophyte infection occurring in sites other than the feet, groin, face, or hand
• begins as a pruritic, circular or oval, erythematous, scaling patch or plaque that spreads centrifugally.
• Central clearing follows, while an active, advancing, raised border remains

Treatment

• usually responds well to topical antifungal drugs, such as azoles, allylamines, butenafine, ciclopirox, and tolnaftate
• Topical antifungal treatment is generally administered once or twice per day for one to three weeks

• Clotrimazole cream (twice daily)
• Clotrimazole/Miconazole cream (twice daily)
• Ketoconazole (once per day/shampoo is usually one use)

• Systemic treatment is an alternative for patients with extensive skin involvement and patients who fail topical therapy
• Adults

• Terbinafine 250 mg per day for one week
• Itraconazole 200 mg per day for one week
• Fluconazole 150 to 200 mg once weekly for two to four weeks
• Griseofulvin microsize 500 to 1000 mg per day or griseofulvin ultramicrosize 375 to 500 mg per day for two to four weeks

• Children

• Itraconazole 3 to 5 mg/kg per day (up to 200 mg per day)
• Fluconazole 6 mg/kg once weekly
• Griseofulvin microsize 10 to 20 mg/kg per day or griseofulvin ultramicrosize 5 to 15 mg/kg per day

Reference:

www.uptodate.com