Monday, November 2, 2015

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

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