Ringworm/tinea

This chapter covers the common scalp conditions that pharmacists are likely to encounter dandruff (pityriasis capitis), seborrhoeic dermatitis, cradle cap, scalp psoriasis and scalp ringworm (tinea capitis). Head lice, another common scalp problem, is covered in Chapter 17. 

Indications for topical use include ringworm, tinea versicolor, and mucocutaneous candidiasis. Resistance to imidazoles or triazoles is very rare among the fungi that cause ringworm. Agents for topical use should be selected based on cost and availability. 

Tinea pedis, tinea cruris, and other skin infections caused by ringworm Tinea pedis, tinea cruris, tinea corporis, cutaneous candidiasis, tinea versicolor External treatment of abrasions, minor cuts, surface injuries, superficial fungus, infedions of the skin Tinea pedis, tinea cruris, tinea corporis, tinea manuum... 

Nigeria Aqueous extract for treating mental disorders. Tinctures for treatment of ringworm tinea (Esimone and Adikwu 1999)... 

The superficial mycotic infections occur on the surface of, or just below, the skin or nails. Superficial infections include tinea pedis (athlete s foot), tinea cruris (jock itch), tinea corporis (ringworm), onychomycosis (nail fungus), and yeast infections, such as those caused by Candida albicans. Yeast infections or those caused by C. albicans affect women in the vulvovaginal area and can be difficult to control. Women who are at increased risk for vulvovaginal yeast infections are those who have diabetes, are pregnant, or are taking oral contraceptives, antibiotics, or corticosteroids. 

Miconazole (Micatin), ciclopirox (Loprox), and econazole (Spectazole)—used for treatment of tinea pedis (athlete s foot), tinea cruris (jock itch), tinea corporis (ringworm), and superficial candidiasis... 

Tinea infections are superficial fungal infections in which the pathogen remains within the keratinous layers of the skin or nails. Typically these infections are named for the affected body part, such as tinea pedis (feet), tinea cruris (groin), and tinea corporis (body). Tinea infections are commonly referred to as ringworm due to the characteristic circular lesions. In actuality, tinea lesions can vary from rings to scales and single or multiple lesions. 

Tinea corporis Presents with circular, scaly patch with enlarged border Lesions may have red papules or plaque in center that clears, leaving hypopigmentation or hyperpigmentation Itching may be present Commonly referred to as ringworm of the body... 

Tachycardia heart rate more than 100 beats/min Tardive dyskinesia uncontrollable facial movements Thrombocytopenia a reduction in platelet count Tics repetitive involuntary movements Tinea corporis ringworm infection Tinea pedis athlete s foot... 

Tinea (ringworm) infections Skin, subcutaneous tissues Griseofulvin Itraconazole, terbinafine... 

Econazole Spectazole Cream Cutaneous candidiasis, tinea (ringworm) infections... 

Fungi that cause superficial skin infections are called dermatophytes. Common dermatomycoses, such as tinea infections, are often referred to as ringworm, which is a misnomer, since fungi rather than worms cause the disease. 

TABLE8-4 Locatioits of the Commoit Types of Tinea (Ringworm) ... 

Ciclopirox is considered an agent of choice in the tn ment of cutaneous candidiasis, tinea corporis, tinea cniiir. tinea pedis, and tinea versicolor. It is a second-line agent for the treatment of onychomycosis (ringworm of the naih> Loprox is formulated as a cream and a lotion, each contain-... 

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