Tinea capitis
Last Updated: 2020-06-01
ICD11: 1F28.0
Last Updated: 2020-06-01
Author(s): Anzengruber F., Navarini A.
ICD11: 1F28.0
Herpes tonsurans, ringworm of the hair, ringworm of the scalp, scalp ringworm, and tinea tonsurans.
Fungal infection of the scalp.
Pathogen:
Variable depending on pathogen: alopecia, deposits.
Control of the therapy by renewed culture is carried out after the end of the therapy.
If zoophilic dermatophytes are detected, all animals with which there has been contact should be examined.
In the case of anthrophilic pathogens, it is recommended to control contact persons as much as possible.
Terbinafine (to be used mainly for trihophytes)
Fluconazole resistances exist against certain Trichophyton species (T. mentagrophytes var, T. verrucosum, T. granulosum).
Children: Although only Griseofulvin is approved for children, we recommend Itraconazole (1313717, 2548967).
1st choice therapy according to Lebwohl |
Level of evidence |
||
Griseofulvin | A | ||
Terbinafin | A | ||
Itraconazole | A | ||
2nd choice therapy according to Lebwohl | |||
Fluconazole | B | ||
Short-term Terbinafin |
B | ||
Short-term Itraconazole | B | ||
|
|||
2% Ketoconazole shampoo | B | ||
Selenium sulfite | B | ||
Prednisolone | B |
Lebwohl, Mark. Treatment of Skin Disease: Comprehensive Therapeutic Strategies. Elsevier, 2014. Print.
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