Diagnosis and Management of Tinea Infections

Tinea infections, caused by dermatophytes, were classified based on the affected site, with tinea corporis and tinea capitis being common in children, while adolescents and adults were more prone to tinea cruris, tinea pedis, and onychomycosis. Clinical diagnosis was challenging due to similar presentations with other conditions, such as eczema or alopecia areata. Confirmation through potassium hydroxide preparation or culture was recommended for suspected cases of onychomycosis and tinea capitis. Topical agents like terbinafine or butenafine creams were effective for tinea corporis, tinea cruris, and tinea pedis, but oral antifungals were necessary for more severe cases. Oral terbinafine was preferred for tinea capitis and onychomycosis due to its effectiveness and cost, while griseofulvin was recommended for kerion to prevent scarring and permanent hair loss.