SX â itch, burn, erythema, scales, hair loss (alopecia),
PE â
Skin.
Hair/Scalp.
Nails.
Next Steps
DX â Usually by Inspection only. Rarely: KOH microscopy, Wood Lamp exam, Culture or Biopsy.
Health Tips
TX â ⢠Meds: griseofulvin 500-1000mg QD, itraconazole 100mg QD, terbinafine 250mg QD, tolnaftate topical, Fluconazole 200mg day 1, then 100mg QD. Antifungal choices include terbinafine, miconazole, clotrimazole, ketoconazole, econazole, naftifine, and (uncommonly) ciclopirox applied bid for 10 to 14 days. Itraconazole 200 mg po once/day or terbinafine 250 mg po once/day for 3 to 6 wk may be needed in patients who have refractory, inflammatory, or widespread infections.