Tinea

Revision as of 08:21, 18 February 2015 by Rossdonaldson1 (talk | contribs)

Background

  • Infection caused by dermatophytes that feed on keratin
  • Variations
    • Tinea capitis
    • Tinea corporis
    • Tinea pedis
    • Tinea cruris

Diagnosis

Tinea Corporis
Tinea Capitis
  • Scaly, variable pruritus
  • Corporis: ring appearance w/ central clearing
  • Capitis: patchy alopecia

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
  • Kerion
    • Cephalexin 40mg/kg/d in 4 divided doses in addition to systemic antifungal tx

Source

See Also

Retrieved from "https://www.wikem.org/w/index.php?title=Tinea&oldid=31727"