Tinea Corporis or Tinea
Not yet clinically reviewed
This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.
Characteristic Features:
- Ring - shaped lesions with an advancing scaly border and central
- Microscopic examination of scrapings or culture confirms the diagnosis
- The lesions are often on exposed areas of the body such as the face and arms
- A history of exposure to an infected pet ( who may have scaly rash or patches of alopecia ) may occasionally be obtained , usually indicating Microsporum infection .
- Trichophyton rubrum is the most common pathogen , usually representing extension onto the trunk or extremities of tinea cruris , pedis , or manuum .
Prevention
Treat infected household pets ( Microsporum infections ) .
To prevent recurrences, the use of foot powder and keeping feet dry by wearing sandals , or changing socks can be useful.
Treatment
A. Local Measures
- Lamisil / Cutis ( terbinafine ) cream apply on the effected part twice daily .
- Butenafine, econazole, miconazole, and clotrimazole, can also be used.
- Treatment should be continued for 1-2 weeks after clinical clearing.
- Betamethasone dipropionate with clotrimazole (Lotrisone ) is not recommended . Long - term improper use may result in side effects from the high potency corticosteroid component, especially in body folds.
B. Systemic Measures
- Cap- Rolac (Itraconazole) 100mg, 2 capsules PO x OD for one week ' OR '
- Tab- Lamisil / Cutis / Terbisil (Terbinafine) 250mg 1 tablet POX OD for 1 month.