May be more effective for microsporum species.Less effective for Trichophyton tonsurans (accounts for most cases of U.S.Child: 10-20 mg/kg/day (up to 20-25 mg/kg/day, maximum 1 g/day) until Hair Growth (typically 8 weeks).
Adults: 500 mg (up to 1 g) orally daily for 6-8 weeks. Ultrasize preparations are also available but are significantly more expensive. Griseofulvin microsize ( Griseofulvin V). Capsules 5 mg/kg/day up to 500 mg/day, daily for one week per month for 2-3 months. Solution 3 mg/kg/day up to 500 mg/day, daily for one week per month for 2-3 months. Capsules 5 mg/kg/day up to 500 mg/day for 4-6 weeks. Solution 3 mg/kg/day up to 500 mg/day for 4-6 weeks. Weekly: 6 mg/kg (up to 150 mg) each week for 8-12 weeks. 
Daily: 6 mg/kg (up to 150 mg) daily for 3-6 weeks.Microsporum canis may require 4-8 weeks of treatment.
Trichophyton tonsurans may require 2-4 weeks of treatment. Child <20 kg: 62.5 mg (up to 125 mg) orally daily for 2 weeks. Child 20-40 kg: 125 mg (up to 187.5 mg) orally daily for 2 weeks. Adult (and child >40 kg): 250 mg orally daily for 2-4 weeks. Pruritus, Scaling, Alopecia, adenopathy) may be treated empirically Kerion treatment should be started immediately while awaiting culture results. Confirm the diagnosis first with Potassium Hydroxide (KOH) preparation and Fungal Culture. Most Antifungal Medications require lab monitoring. Examine household contacts (and treat if Tinea Capitis present). Psoriasis appearance, but hairs are broken off. Scalp red with Pustules or with painful, red, boggy Plaque (kerion). Wood's Lamp: Fluorescent (Microsporum species). Non-inflammatory (epidemic) Tinea Capitis. Posterior Cervical Lymphadenopathy (absent in Alopecia). Classic presentation strongly suggests Tinea Capitis. Hence most cases of Tinea Capitis do not fluoresce. 
Trichophyton (92% of cases) does not fluoresce.Microsporum lesions fluoresce under Wood's Lamp.
0 kommentar(er)
