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Tinea capitis
From WikEM
Contents
Background
- Infection caused by dermatophytes that feed on keratin
Tinea Types
- Tinea capitis (head)
- Tinea corporis (body)
- Tinea pedis (foot)
- Tinea cruris (groin)
Clinical Features
- Scaly, variable pruritus
- Patchy alopecia
Differential Diagnosis
Neonatal Rashes
- Atopic dermatitis
- Diaper dermatitis
- Erythema toxicum neonatorum
- Neonatal acne
- Psoriasis
- Seborrheic dermatitis
- Tinea capitis
- Impetigo
- Contact dermatitis
- Perianal streptococcal dermatitis
- Milia
- Miliaria
- Mongolian spots
- Omphalitis
- Pustular melanosis
- Sucking blisters
Evaluation
- Clinical diagnosis
Management
Antifungals
- Coverage for Trichophyton and Microsporum and should use both topical and systemic therapy simultaneously
- Baseline liver function required prior to systemic antifungals
Topical
- Selenium sulfide 2.25% shampoo daily x 2 weeks
- Ketoconazole 2% shampoo daily x 2 weeks
Systemic
- Fluconazole 150mg (6mg/kg) PO once a week x 8 weeks
- Griseofulvin 500mg (20mg/kg suspension) PO daily x 6 weeks
- Itraconazole 200mg (5mg/kg) PO daily x 4 weeks
Disposition
- Discharge
