Phototoxic Reaction to Oral Terbinafine Due to Tinea Capitis in a Child

    November 2024 in “ PubMed
    Ana Bakija‐Konsuo, Lena Kotrulja, Matko Marlais
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    Studysummary This case report describes an 18-month-old boy who developed a rare phototoxic skin reaction to terbinafine, likely triggered by sunlight exposure, which resolved after treatment with corticosteroid cream and sun avoidance.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    An 18-month-old boy developed a phototoxic skin reaction to oral terbinafine, used to treat a Microsporum canis fungal scalp infection, after sun exposure. The reaction manifested as erythematous plaques on the scalp, ears, and face, resembling subacute lupus erythematosus. Despite the reaction, terbinafine treatment continued due to persistent fungal infection, with sun exposure strictly avoided. The skin lesions regressed with corticosteroid cream, and immunological tests were negative. This case highlights the rare occurrence of terbinafine-induced photosensitivity and the importance of advising patients about potential sun exposure risks during treatment.
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