Tinea corporis profunda

Trichophytia corporis profunda.

Deep, granulomatous reaction triggered by dermatophyte infection.

• Erythematous, sometimes abscessing plaques and nodules. Not infrequently, follicularly bound pustules are also seen.

• Clinical appearance.
• Detection of pathogens (collection of scales: then native preparation and culture; biopsy)
• Wood light (greenish fluorescence).

Back of the hand, wrists, forearms, neck, beard area.

General measures:

• If zoophilic dermatophytes are detected, all animals with which there has been contact should be examined.
• Examination of other persons in the household.
• Therapy should be administered with both topical and systemic antifungal agents!

Topical therapy:

• Clotrimazole cream
• Terbinafine cream 1%
• Ketoconazole cream 2%
• Amorolfin cream 0.25% cream
• Econazole cream 1%
• Ciclopirox cream Cream or Lsg.
• Ketoconazole-containing shampoo: leave on for 5- 10 minutes.
• Ciclopirox-containing shampoo: leave on for 5- 10 minutes.
• Pregnancy: Only nystatin is allowed

Systemic therapy

• Terbinafine p.o. 250 mg 1x tgl. for 1-2 weeks
• Alternatively: Fluconazole p.o. 50 mg 1x daily for 14 days
• Alternative: Itraconazole p.o. 200 mg 1x tgl. for 7 days, in adjusted dosage also very effective in children

1. Goldstein, A. (2016). Dermatophyte (tinea) infections. Uptodate.com. Retrieved 30 May 2016, from http://www.uptodate.com/contents/dermatophyte-tinea-infections?source=search_result&search=tinea+corporis&selectedTitle=1~51