Dermatophyte infections

Summary

  • Superficial fungal infection with varying presentation depending on site.
  • Diagnosis is typically clinical, although speciation via fungal culture and proof of mycological cure via serial fungal culture may aid patient care.
  • It is highly recommended to confirm diagnosis of tinea unguium and tinea capitis prior to treatment.
  • Topical therapy is sufficient for most tinea infections.
  • Fungicidal topical allylamines demonstrate good cure rates with short duration of treatment.
  • Systemic therapy is preferred for tinea capitis, tinea barbae, tinea manuum, and onychomycosis.
Last updated: May 17, 2011
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