Guidelines for the management of tinea capitis in children.

Abstract:

:Practice guidelines for the treatment of tinea capitis (TC) from the European Society for Pediatric Dermatology are presented. Tinea capitis always requires systemic treatment because topical antifungal agents do not penetrate the hair follicle. Topical treatment is only used as adjuvant therapy to systemic antifungals. The newer oral antifungal agents including terbinafine, itraconazole, and fluconazole appear to have efficacy rates and potential adverse effects similar to those of griseofulvin in children with TC caused by Trichophyton species, while requiring a much shorter duration of treatment. They may be, however, more expensive (Grading of recommendation A; strength of evidence 1a). Griseofulvin is still the treatment of choice for cases caused by Microsporum species. Its efficacy is superior to that of terbinafine (Grading of recommendation A; strength of evidence 1b), and although its efficacy and treatment duration is matched by fluconazole (Grading of recommendation A; strength of evidence 1b) and itraconazole (Grading of recommendation A; strength of evidence 1b), griseofulvin is cheaper. It must be noted, however, that griseofulvin is nowadays not available in certain European countries (e.g., Belgium, Greece, Portugal, and Turkey).

journal_name

Pediatr Dermatol

journal_title

Pediatric dermatology

authors

Kakourou T,Uksal U,European Society for Pediatric Dermatology.

doi

10.1111/j.1525-1470.2010.01137.x

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

226-8

issue

3

eissn

0736-8046

issn

1525-1470

pii

PDE1137

journal_volume

27

pub_type

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