Superficial fungal infection with varying presentation depending on site.
Diagnosis is typically clinical, although speciation via fungal culture and proof of mycologic 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.
Dermatophytes are fungal organisms that require keratin for growth. These fungi can cause superficial infections of the hair, skin, and nails. Dermatophytes are spread by direct contact from other people, animals, soil, and from fomites.
Professor of Clinical Dermatology
Dermatology and Cutaneous Surgery
University of Miami Health System
AT received honorarium and travel reimbursment from Valeant, PharmaDerm, and Polichem, and is on the speaker bureau for PharmaDerm.
Dr Antonella Tosti would like to gratefully acknowledge Dr Keira L. Barr and Dr Barry L. Hainer, the previous contributors to this monograph. KLB declares that she has no competing interests. BLH is on the speaker bureaus for the vaccine programmes of Merck and Sanofi-Pasteur pharmaceutical companies.
Clinical Professor of Dermatology
Columbia University College of Physicians and Surgeons
New York City
NS declares that she has no competing interests.
Department of Dermatology
Health Science Center of Houston
CMG declares that she has no competing interests.
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