Dermatophytosis medical therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Medical Therapy

• Topical agents: antifungal topical agents such as miconazole, terbinafine, clotrimazole, ketoconazole, or tolnaftate applied twice daily until symptoms resolve (usually within one or two weeks). Topical treatments should then be continued for a further 7 days after resolution of visible symptoms to prevent recurrence. The total duration of treatment is therefore generally two weeks, but may be as long as three.

• Oral medications: in more severe cases or where there is scalp ringworm, systemic treatment with oral medications may be given.

• To prevent spreading the infection, lesions should not be touched, and good hygiene maintained with washing of hands and the body.

• Infected pets should also be treated.

Related chapter

Dermatophytosis

• Tinea pedis (athlete's foot) affects the feet
• Tinea unguium affects the fingernails and toenails
• Tinea corporis affects the arms, legs, and trunk
• Tinea cruris (jock itch) affects the groin area
• Tinea manuum affects the hands and palm area
• Tinea capitis affects the scalp
• Tinea barbae affects facial hair
• Tinea faciei (face fungus) affects the face

Other superficial mycoses (not classic ringworm, since not caused by dermatophytes)

• Tinea versicolor caused by Malassezia furfur
• Tinea nigra caused by Hortaea werneckii