Fast Five Quiz: Hygiene-Related Diseases

Richard H. Sinert, DO

Disclosures

May 04, 2021

Tinea corporis may be treated with topical agents (ie, creams, lotions, solutions, powders, sprays) as the drug of choice or with oral antifungals in extensive or recalcitrant disease.

Terbinafine and fluconazole have shorter courses than griseofulvin in the treatment of tinea capitis. Griseofulvin was extensively used in the past to treat dermatophytic infections of the skin. However, with new antifungals now available, its use is now limited.

For tinea capitis and nail infections, topical therapy is ineffective. Findings with onychomycosis treatment were discouraging because of the need for prolonged therapy and the low success rate. Oral antimycotic drugs have been developed as the drug of choice; these have greatly improved the outlook (especially for patients with fungal toenail infection).

In most cases of tinea corporis and tinea cruris, 2 weeks of treatment may suffice. Tinea pedis may require treatment for as long as 8 weeks. Topical butenafine and terbinafine have better effectiveness than and similar cost to topical clotrimazole or miconazole in the treatment of tinea.

Read more about the treatment of tinea.

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