Tinea corporis profunda
Last Updated: 2019-08-27
Trichophytia corporis profunda.
Deep, granulomatous reaction triggered by dermatophyte infection.
- Erythematous, partly abscessing plaques and nodi. Follicularly bound pustules are not uncommon.
Detection of pathogens (extraction of dandruff: 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 contact has existed should be examined
- Examination of other persons in the household.
The therapy should be carried out with both topical and systemic antifungals!
- Clotrimazole cream (Canesten® cream)
- Terbinafin cream (Terbinafin® cream 1%)
- Ketoconazole cream (Nizoral® cream 2%)
- Amorolfine cream (Loceryl® 0.25% cream)
- Griseofulvin cream: not available in Switzerland
- Bifonazole cream: not available in Switzerland
Econazole cream (Pevaryl® cream 1%)
- Ciclopirox Cream (Ciclocutan® Cream or similar)
Ketoconazole-containing shampoo (Ketozol® shampoo, Keto-med® shampoo, Lur® shampoo, Nizoral® shampoo): leave on for 5-10 minutes.
Shampoo containing Ciclopirox (Sebiprox®-Shampoo): leave on for 5-10 minutes.
- Pregnancy: Only nystatin is allowed.
Terbinafin (Lamisil®, Myconormin®) p.o. 250 mg 1x per day 1-2 weeks.
Alternative: Fluconazole (e.g.: Diflucan®) p.o. 50 mg 1x per day for 14 days
Alternative: itraconazole (e.g. Sporanox®) p.o. 200 mg 1x per day for 7 days
Alternative: Griseofulvin p.o. 500 mg 2x per day (not available in Switzerland)
Children: Although only griseofulvin is approved for children, we recommend the use of itraconazole for the data situation.
- 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