Antifungals for Tinea Corporis: When to Choose an Oral Agent
I enjoyed Dr Kirk Barber’s interesting Dermclinic quiz featuring a 5-year-old boy with a dramatic resentation of tinea corporis (CONSULTANT FOR PEDIATRICIANS, February 2009, page 43). I am curious to know why Dr Barber prescribed oral terbinafine for this patient.
I enjoyed Dr Kirk Barber’s interesting Dermclinic quiz featuring a 5-year-old boy with a dramatic presentation of tinea corporis (CONSULTANT FOR PEDIATRICIANS, February 2009, page 43). I am curious to know why Dr Barber prescribed oral terbinafine for this patient. I was taught to reserve oral antifungals for the treatment of onychomycosis or tinea capitis but to use topical antifungals for other purposes.
-- Syed Rizvi, MD
In my experience, when tinea corporis is extensive, the best way to treat it is with a systemic agent. Otherwise, you often wind up “chasing” the infection from area to area and find it difficult to obtain a cure. In addition, in extensive tinea corporis, the hair follicles have likely been invaded, and much as in tinea capitis, topical therapy will not penetrate to the site of infection.
-- Kirk Barber, MD, FRCPC
Clinical Associate Professor of Medicine
and Community Health Sciences
University of Calgary
Alberta
Neffy pharmacokinetic profiles compared to epinephrine injections
February 23rd 2024Sarina Tanimoto, MD, MBA, breaks down a poster session regarding the pharmacokinetic profile of neffy, presented at the 2024 American Academy of Allergy, Asthma, & Immunology Annual Meeting in Washington DC from February 23 to February 26, 2024.
