Tinea corporis profunda
Last Updated: 2022-03-11
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.
- 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!
- 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
- 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
- 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