Tinea corporis (ring worm):
- Thorough bathing with soap and water, removal of scabs and crusts, and the application of an effective topical (e.g. creams, lotions or ointments) fungicide such as miconazole 2% external cream, ketoconazole, ciclopiroxzole, econazole, naftifine, tervinafine, tolnaftate or ciclopiroxzole may be all that is needed to treat the fungus.
- Ketoconazole 2% topical cream to be applied to the affected areas daily
- Terbinafine 1% external cream – apply 2-3 times daily for up to 6 weeks
- If topical treatment(s) do not work, may prescribe an anti-fungal PO. A prescription medication, Griseofulvin, given by mouth is effective; oral itraconazole is useful in grisceofulvin-resistant ringworm.
Tinea manuum (or tinea manus) is a fungal infection of the hand.
- It is typically more aggressive than tinea pedis (athlete’s foot) but similar in look.
- Sx: Itching, burning, cracking, and scaling are observable.
- Tx: long term use of a topical antifungal medications such as selenium sulfide shampoo. However, in some cases an oral antifungal such as griseofulvin may have to be prescribed.
- Fluconazole 150 MG PO (Diflucan 150 MG Oral Tablet); TAKE 1 TABLET WEEKLY X 4 weeks
- Ketoconazole 2 % External Cream; bid X 4 weeks