Tinea: Difference between revisions

(Created page with "==Background== *Infection caused by dermatophytes that feed on keratin *Variations **Tinea capitis **Tinea corporis **Tinea pedis **Tinea cruris ==Diagnosis== *Scaly, variable p...")
 
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==Treatment==
==Treatment==
*Topical antifungal tx for all except capitis
*Topical antifungal tx for all except 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

Revision as of 16:26, 3 January 2012

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

DDx

  1. Pityriasis rosea
  2. Lichen planus
  3. Psoriasis
  4. Eczema
  5. Contact dermatitis

Treatment

  • Topical antifungal tx for all except capitis
  1. Clotrimazole 1% BID x2-3wk
    1. Must use for 7-10d beyond resolution of lesions
  2. Capitis
    1. Griseofulvin 20-25mg/kg/d or BID
      1. Usually requires 8wk of tx
    2. Selenium or ketoconazole shampoos are adjunct tx
    3. Okay for child to go to school
  3. Kerion
    1. Cephalexin 40mg/kg/d in 4 divided doses in addition to systemic antifungal tx

Source

Tintinalli

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