Tinea corporis profunda

Last Updated: 2022-03-11

Author(s): Anzengruber, Navarini

ICD11: -

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