Superficial Fungal Infections

October 2019 in “ Australian Journal of General Practice ”

Tom Kovitwanichkanont, Alvin H Chong

tinea alopecia terbinafine onychomycosis griseofulvin tinea corporis laser therapy topical antifungal therapy Lamisil

TLDR Accurate diagnosis and treatment are crucial for managing superficial fungal infections, with terbinafine being the best oral treatment for nail infections.

The document provided an overview of superficial fungal infections, focusing on tinea, which affected the skin, nails, and hair. It highlighted the importance of accurate diagnosis and treatment to prevent complications like cellulitis, ulcers, and alopecia. Terbinafine was identified as a superior oral therapy for onychomycosis, while griseofulvin was less effective for tinea corporis and not recommended for onychomycosis. Laser therapy was not recommended as a first-line treatment. Preventive measures included addressing risk factors and using topical antifungal therapy as prophylaxis. The authors emphasized the need for confirmed diagnosis before prescribing oral antifungal therapy due to the presence of tinea mimics.

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