Chapter 41 Fungal Skin Infections
Cure athlete's foot in some patients after 1 week
Allure of betnafine hydrochloride and terbinafine hydrochloride
Macerated, denuded, weeping ulcerations on sole of foot, pungent odor, white hyperkeratosis
Characteristics of acute ulcerative type of tinea pedis
Fissuring, scaling, maceration in interdigital space, malodor, pruritus, sting sensation on feet
Characteristics of chronic intertriginous tinea pedis
Found on both feet, mild inflammation and diffuse moccasin-like scaling on soles.
Characteristics of chronic papulosquamous pattern tinea pedis
Small vesicles near instep, scaling, worse during summer
Characteristics of vesticular type tinea pedis
Feet, groin, scalp, under arms
Common places for tinea infections
Bitter orange, tea tree oil, garlic
Complementary therapies
Aluminum acetate solution 2-3x/day for 1 week, then antifungal treatment 2x/day for 4 weeks
For pedis, treatment if lesions with inflammation
Antifungal 2x.day for 4 weeks + nondrug measures
For pedis, treatment if small vesicles, scaling without inflammation
Non-Rx astringents, antifungals, nonndrug measures to keep area clean and dry
How are they treated?
For between toes tinea pedis, tinea cruris, and tinea corporis -For athlete's foot between toes, twice a day for 1 week -thin film to AA once a day for 2 weeks for jock itch and ring worm
How to use butenafine hydrochloride
For Tinea pedis, tinea cruris, tinea corporis. For athlete's foot and ringworm, use 2x daily for 4 weeks. For cruris, apply twice daily for two weeks.
How to use clotrimazole and miconazole nitrate
-For athlete's foot between toes: apply twice a day for 1 week. -For athlete's foot on bottom or sides of foot, apple twice a day for 2 weeks. -For jock itch and ringworm, apply once a day for 1 week.
How to use terbinafine
Tinea unquium, tinea capitis
Medical referral for ___ and ___
Creams and solutions
Most effective treatment forms
-Primarily valuable in dry, scaly lesions -Apply sparingly twice daily, takes 2-4 weeks.
Tolnaftate
aluminum chloride2x/day for 1 week until odor and wetness subside. then antifungal 2x/day for 4 weeks.
Treatment of wet, soggy athlete's foot + deep fissures
aluminum chloride 2x/day for 1 week until odor, wetness, whitness abate. antifungal 2x/day after for 4 weeks.
Treatment of wet, soggy type of athlete's foot without fissures