Tinea corporis

Background

Normal dermal anatomy.

• Infection caused by dermatophytes that feed on keratin

Tinea Types

• Tinea capitis (head)
• Tinea corporis (body)
• Tinea pedis (foot)
• Tinea cruris (groin)

Clinical Features

Tinea Corporis

Scaly, variable pruritus

• Ring appearance with central clearing

Differential Diagnosis

• Contact dermatitis
• Eczema
• Lichen planus
• Pityriasis rosea
• Psoriasis

Evaluation

• Clinical diagnosis

Management

Tinea corporis, pedis, cruris, and manus treatment

Coverage for Trichophyton and Epidermophyton and all treatment should be at lease 1 week past resolution of lesions

Mild Disease

• Clotrimazole 1% or Ketoconazole q12hrs applied topically x 4 weeks
• Miconazole 2% cream applied topically BID x 4 weeks

Severe Bullous disease

• Fluconazole 150mg (6mg/kg) PO once a week x 2 weeks
• Itraconazole 200mg (5mg/kg) PO daily q12hrs for 1 week
• Griseofulvin 500-1000mg (20mg/kg) PO daily for 2-4 weeks

Disposition

• Discharge

See Also

• Tinea