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ComPbms.Derm.7

Tinea

QuestionAnswer
What Dermatophyte fungal infection of the skin. Physical findings include single or multi annular lesions with advancing scaling borders, erythema with paler center and can have pustules. Very itchy, chronic puritis.
Tinea Corporis Appears on skin as eythematous plaques and papules in an annular or arciform pattern. Lesions often have slightly elevated borders with central clearing.
Tinea Cruris (jock itch) Appears on the groin and upper inner thigh and extends to the gluteal folds as eryhthematous scaling patches with raised borders.
Tinea pedis (athletes foot) can occur as interdigital scaling, maceration and fissuring.
Treatment (Topical) Terbinafine (lamisil ) cream. Butenafine (lotrimin ultra) cream. Miconazole (monistat, lotrimin) cream. Clotrimazole (mycelex, lotrimin AF) cream.
Treatment (topical) All of the above preparations come with a corticosteroid also and may be needed for the more persistent infections.
Treatment (Orals) Oral fluconazole 200mg daily for 4 weeks is suggested in our text, however 200mg day 1 then 100mg day 2-8 is very effective in resistant cases and can be used in conjunction with topicals. Oral terbinafine (sporanox) 250mg dly for up to 4 weeks.
Diagnostics KOH. Woods lamp fluoresces many fungal infection but not all.
Created by: DianaB
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