Fungal infection of the skin: Ring worm, Athlete’s foot

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.
  1. Fluconazole 150 MG PO (Diflucan 150 MG Oral Tablet); TAKE 1 TABLET WEEKLY X 4 weeks
  2. Ketoconazole 2 % External Cream; bid X 4 weeks

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