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Treatment of Tinea Infection

  1. Topical treatment
    1. Imidazole e.g. miconazole, clotrimazole, Tioconazole, Ketoconazole, Isoconazole, Bifonazole,
    2. Allylamine e.g. Terbinafine, Natifine
      Others e.g. Tolciclate, whitfield's ointment, mycota, Castellani's paint, Ciclo-piroxolamine, Tolnaftate, Zinc Undecenoate, amorolfine nail lacquer.
    3. Systemic treatment
      Griseofulvin, fluconazole, Itraconazole, Terbinafine
  2. Candidiasis
    1. Candida infections caused by yeast-like fungi Candida albicans commonly occur in moist, flexural sites. It is more common at the extremes of age and during pregnancy.
    2. Predisposing factors include diabetes mellitus, pregnancy, broad-spectrum antibiotics, obesity, Cushing disease, uraemia, malignant disease and immunodeficiency.
    3. It can present as 10 clinical patterns, depending on the site of involvement. They are the (i) oral thrush, (ii) Per lechae  Angular cheilitis, (iii) genital candidiasis (vulvovaginitis), (iv) candidal balanitis, (v) candidal intertrigo, (vi) chronic paronychia, (vii) chronic onychia, (viii) pruritus ani, (ix) erosio interdigitalis and candida granuloma.
      The diagnosis is arrived clinically and confirmed by fungal culture.
  3. Treatment
    1. Topical treatment
      Nystatin, imidazole cream, amphotericin lozenges (in oral candidiasis)
    2. Systemic treatment
      Oral fluconazole, itraconazole, ketoconazole
Systemic therapy for all dermatophytosis
•  Terbinafine       →    DOC
•  Griseofulvin      →    2nd choice
Infected Part
Palm & soles
Finger nails
Duration of t/t
3 weeks
4-6 weeks
4-6 months
8-12 months

Extra Edge:
Fluorescent colours Fluorescent colours
Tinea capitis
Tuberous sclerosis
Pseudomonas infection
Tinea versicolor
Bright yellow green
Coral red or pink
Milky white
Blue white
Blue white
Blue white
Greenish white
Golden yellow

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