Most appropriate drug for treatment ? The lesion is picture is ringworm

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Ringworm infection is caused by fungus known as dermatophytes. There are 7 types of ringworm infection /Tinea. *Tinea barbae *Tinea capitis *Tinea corporis. *Tinea facie. *Tinea manus. *Tinea cruris. *Tinea pedis there are various drugs for Tinea. clotrimazole micanozole ketoconazole terbinafine butenafine tolnaftate. ketoconazole is very effective in the treatment of ringworm. oral griseofulvin is used in infection of nails.

This is a case of Tinea corporis, a dermatophytosis. Dermatophytes are grop of fungi that infect only the superficial keratinised tissue ( skin, hair, nails) without involving the living tissue. They are incapable of penetrating subcutaneous tissue. Eg : T. Verrucosum, M. Canis Here the presentation is classical of Tinea. Erythematosus Annular Dry, scaly Well defined edge and central clearing. Diagnosis can be confirmed by skin scraping for KOH. Management Advise personal hygiene Coming to the drugs, Topical application of Cotrimazole, Terbinafin or Miconazole can be prescribed. Systemic antifungals are not needed in this case I feel as it is not extensive. If required can go for T. Terbinafin 250 mg OD for 2 weeks Or T. Fluconazole 150 mg once a week for 4 weeks. Supportive treatments like antihistamines can be used if needed.

considering the high resistance, it is better to use cap. Itraconazole 100 mg B.D for 2 weeks

tinea. tab fluconazole 400 once weekly or tab terbinafin 250 od for 4 weeks clobetasol+miconazole cream locally

Tenia imbricata antifungal treatment

Terbinafine,

Anti fungal ointment with miconazole.

tab turbidoc 250 mg for 2 weeks and anti fungal ointment

cap. itraconazol 200mg HS for 14 days along with antihistaminics

anti fungal oint may prescribe like miconazole and cotrimazole

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