Dermatophytoses Anatomic site1Clinical featuresTreatment Scalp Scalp ringworm Tinea capitisCommon in children.
Depending on the species: One or more round, scaly, erythematous plaques with the ends of broken hairs.
Inflammation, suppuration, crusting and peripheral lymphadenopathy (kerion) purchase minocycline 100 mg online without prescription.
Permanent hair loss (favus).
Some scalp ringworms are contagious: simultaneously examine (and treat) symptomatic contacts.
Shave or cut hair short on and around the lesions.
Local treatment: 2 timesday, clean with soap and water, dry and apply miconazole 2% cream or Whitfield’s ointment for 2 weeks or longer if necessary.
Administer systemic treatment order lamisil generic online as local treatment alone does not cure scalp ringworm: griseofulvin PO for 6 weeks (up to 8 to 12 weeks) Children 12 years: 10 to 20 mgkgday in 1 or 2 divided doses (max.
500 mgd) Children 12 years and adults: 500 mg to 1 gday in 1 or 2 divided doses or itraconazole PO Children: 3 to 5 mg kg once daily for 4 weeks (max.
200 mg d) Adults: 200 mg once daily for 2 to 4 weeks Suppurative lesions: treat superinfection (see Impetigo, page 105) before applying local antifungal treatment.
For painful kerion: paracetamol PO.
In pregnant lactatingbreastfeeding women: oral antifungals are contraindicated.
Apply a topical treatment buy azelaic acid cream online (miconazole 2% cream or Whitfields ointment) to limit the spread of infection until it is possible to treat orally.
Glabrous skin Ringworm of the body Tinea corporisErythematous, scaly, pruritic macule with a welldemarcated, raised, vesicular border and central healing.
For non widespread, localised tinea: Local treatment: 2 timesday, clean with soap and water, dry and apply miconazole 2% cream or Whitfield’s ointment for 2 to 4 weeks or for 2 weeks after clinical resolution.
Reserve oral antifungals for particularly extensive lesions: griseofulvin PO for 4 to 6 weeks or itraconazole for 15 days.
Folds Tinea pedis (athletes foot) Tinea crurisInterdigital spaces (Tinea pedis): Pruritus, fissure and whitish scales in the 3rd and or 4th interdigital spaces2.
Groin (Tinea cruris): Circumscribed, pruritic, erythematous plaque, with a pale centre surrounded by vesiculopustules, extending outward from the groin.