Tinea: Difference between revisions
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==Management== | ==Management== | ||
*Topical antifungal | *Topical antifungal treatment for all except tinea capitis | ||
*Clotrimazole 1% BID x2-3wk | *Clotrimazole 1% BID x2-3wk | ||
**Must use for 7-10d beyond resolution of lesions | **Must use for 7-10d beyond resolution of lesions | ||
*Capitis | *Capitis | ||
**Griseofulvin 20-25mg/kg/d or BID | **Griseofulvin 20-25mg/kg/d or BID | ||
***Usually requires 8wk of | ***Usually requires 8wk of treatment | ||
**Selenium or ketoconazole shampoos are adjunct | **Selenium or ketoconazole shampoos are adjunct treatment | ||
**Okay for child to go to school | **Okay for child to go to school | ||
*Kerion<ref>Gnanasegaram M. Kerion. DermNet NZ. 2012. http://www.dermnetnz.org/fungal/kerion.html</ref> | *Kerion<ref>Gnanasegaram M. Kerion. DermNet NZ. 2012. http://www.dermnetnz.org/fungal/kerion.html</ref> | ||
**Oral griseofulvin, itraconazole, or terbinafine for 6-8 wks | **Oral griseofulvin, itraconazole, or terbinafine for 6-8 wks | ||
**[[Cephalexin]] 40mg/kg/d in 4 divided doses in addition to systemic antifungal | **[[Cephalexin]] 40mg/kg/d in 4 divided doses in addition to systemic antifungal treatment if there is evidence or high risk of bacterial secondary infection | ||
**Ketoconazole shampoo, isolated towels decrease spread to household members | **Ketoconazole shampoo, isolated towels decrease spread to household members | ||
Revision as of 05:19, 15 July 2016
Background
- Fungal infection caused by dermatophytes that feed on keratin
Tinea Types
- Tinea capitis (head)
- Tinea corporis (body)
- Tinea pedis (foot)
- Tinea cruris (groin)
Clinical Features
- Scaly, with variable pruritus
- Corporis: ring appearance with central clearing
- Capitis: patchy alopecia
Differential Diagnosis
- Pityriasis rosea
- Lichen planus
- Psoriasis
- Eczema
- Contact dermatitis
Diagnosis
- Clinical diagnosis with Wood's lamp
- Kerion
- Painful, itchy, eczematous
- Hair loss
- Fever, malaise
- Lymphadenopathy
Management
- Topical antifungal treatment for all except tinea 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 treatment
- Selenium or ketoconazole shampoos are adjunct treatment
- Okay for child to go to school
- Griseofulvin 20-25mg/kg/d or BID
- Kerion[1]
- Oral griseofulvin, itraconazole, or terbinafine for 6-8 wks
- Cephalexin 40mg/kg/d in 4 divided doses in addition to systemic antifungal treatment if there is evidence or high risk of bacterial secondary infection
- Ketoconazole shampoo, isolated towels decrease spread to household members
Disposition
- Discharge
See Also
References
- ↑ Gnanasegaram M. Kerion. DermNet NZ. 2012. http://www.dermnetnz.org/fungal/kerion.html