Friday, October 25, 2013

Management of Dermatophytes !

when I think about Dermatohytes I don't worry about their SILLY names Capitis , Corporis ! (So cute : 0 !)

and I used to always think about topical antifungals (Ketoconazole or clotrimazole)

but in fact it's pretty Inaccurate or Incomplete !

particularly for Tinea Capitis (ring worm of the scalp -Cap=Hat=scalp : ) and Onychomycosis (very irritating dermatophytes infection of the nails ) , you would need to initiate treatment with systemic Antifungals , particulary Terbinafine or Itraconazole

and since Terbinafine is generally a Hepatotoxic drug , Don't think to administer it to a patient with a liver condition and always regularly check for liver function when you administer drug as it totally worth to know that you are going to use the drug for at least 6 weeks (nearly 2 months ).

practically speaking, I have seen a dermatologist who used oral anti-fungals in treatment of ring worms of the groin, so I believe it's not a basic rule.

                                                    it's easy to diagnose Tinea Versicolor
                     (Excellent blog for Dermatology) :   http://blog.drseymourweaver.com/

Malassezia Furfur, that causes Tinea versicolor is treated with topical Selenium sulfide besides systemic Itraconazole (because usually this infection is expansive through the body to the limit the topical creams alone wouldn't cover all affected areas !)

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