Fungal Infections
Tinea manuum / Tinea pedis

Tinea manuum / Tinea pedis

Likely Causative Organisms

Trichophyton

Microsporum

Epidermophyton

First Line Empiric Treatment

Topical Clotrimazole 1% for 4-8 weeks

OR

Topical Miconazole 2% for 4-8 weeks

OR

Topical Ketoconazole for 4-8 weeks

OR

Topical Terbinafine for 4-8 weeks

Empiric Treatment for Resistant Cases

Terbinafine 250mg PO q24h for 2-4 weeks

OR

Itraconazole 200mg PO q24h for 2-4 weeks

Alternative Treatment

Griseofulvin 500mg PO q12h for 6-12 weeks taken with a fatty meal to enhance absorption

OR

Clinical Information

Topical keratolytic agents can be used in conjunction with antifungals for hyperkeratotic type of tinea pedis/manuum

KMnO₄ in 1:10,000 dilution wet dressings, applied for 20 min 2-3 times/day may be helpful if vesticulation or maceration is present