Tinea: Difference between revisions
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[[File:TineaCapit-001.jpg|center|frame|500px|Tinea Capitis]] | [[File:TineaCapit-001.jpg|center|frame|500px|Tinea Capitis]] | ||
== | ==Differential Diagnosis== | ||
*Pityriasis rosea | |||
*Lichen planus | |||
*Psoriasis | |||
*Eczema | |||
*Contact dermatitis | |||
==Treatment== | ==Treatment== | ||
*Topical antifungal tx for all except capitis | *Topical antifungal tx for all except capitis | ||
*Clotrimazole 1% BID x2-3wk | |||
**Must use for 7-10d beyond resolution of lesions | |||
*Capitis | |||
**Griseofulvin 20-25mg/kg/d or BID | |||
***Usually requires 8wk of tx | |||
**Selenium or ketoconazole shampoos are adjunct tx | |||
**Okay for child to go to school | |||
*Kerion | |||
**[[Cephalexin]] 40mg/kg/d in 4 divided doses in addition to systemic antifungal tx | |||
==Source== | ==Source== | ||
==See Also== | ==See Also== | ||
*[[Rashes]] | *[[Rashes]] | ||
[[Category:Peds]] | |||
Revision as of 08:21, 18 February 2015
Background
- Infection caused by dermatophytes that feed on keratin
- Variations
- Tinea capitis
- Tinea corporis
- Tinea pedis
- Tinea cruris
Diagnosis
- Scaly, variable pruritus
- Corporis: ring appearance w/ central clearing
- Capitis: patchy alopecia
Tinea Corporis
Tinea Capitis
Differential Diagnosis
- Pityriasis rosea
- Lichen planus
- Psoriasis
- Eczema
- Contact dermatitis
Treatment
- Topical antifungal tx for all except capitis
- Clotrimazole 1% BID x2-3wk
- Must use for 7-10d beyond resolution of lesions
- Capitis
- Griseofulvin 20-25mg/kg/d or BID
- Usually requires 8wk of tx
- Selenium or ketoconazole shampoos are adjunct tx
- Okay for child to go to school
- Griseofulvin 20-25mg/kg/d or BID
- Kerion
- Cephalexin 40mg/kg/d in 4 divided doses in addition to systemic antifungal tx