Hair bearing skin
Tinea capitis
(scalp, eyebrows, eyelashes)
Tinea barbae
(beard, mustache)
- Topical therapy not recommended.
- For severe inflammatory disease (kerion), adjunctive prednisone is sometimes used.
Usual Pathogens
Trichophyton spp
Microsporum spp
Adult
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Terbinafine | 250mg PO daily | 2-4 weeks |
| or | ||
| Itraconazole | 100mg PO bid | 4-8 weeks |
Alternative
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Fluconazole | 150mg PO weekly | 4-8 weeks |
| or | ||
| Griseofulvin | 250mg PO daily | 6-12 weeks |
Paediatrics
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Terbinafine | < 20kg: 62.5mg PO daily | 4 weeks |
| 20-40kg: 125mg PO daily | 4 weeks | |
| > 40kg: 250mg PO daily | 4 weeks | |
| or | ||
| Itraconazole | 5mg/kg PO daily | 4 weeks |
| or | ||
| Griseofulvin | 15-20mg/kg/d PO in divided doses | 8-10 weeks |