Efficacy of oral fluconazole versus oral terbinafine in the treatment of tinea capitis
Keywords:
diflucan, fluconazole, lamisil, terbinafine, tinea capitisAbstract
Objective: To compare the effectiveness of oral Fluconazole vs oral Terbinafine in the treatment of tinea capitis. Place and Duration: This Randomized control trial was conducted from 6th December, 2019 to 6th June, 2020 in the Department of Dermatology, Hayatabad Medical Complex, Peshawar. Subject and Method: The study was carried out at Department of Dermatology, Hayatabad Medical Complex Peshawar. Through consecutive sampling technique, all patients meeting the diagnostic requirements for inclusion were selected from the OPD. The parents or guardians of the patients provided written informed consent and were advised that the information would be kept confidential because it was all done only for the purpose of the study. To confirm Tinea Capitis in all patients, a thorough history, physical examination, and microscopy were performed. Through the use of a lottery, patients were randomly split into Group A and Group B. For four weeks, patients in Group A received Fluconazole 6–8 mg/kg once weekly. Terbinafine 3-5 mg/kg was given once daily to patients in Group B. Patients were evaluated using the Total Sign and Symptom Score (TSSS) and microscopic inspection at the time of study enrolment, as well as at 4- and 8-week intervals after those times.
Downloads
References
Pai VV, Hanumanthayya K, Tophakhane RS, Nandihal NW, Kikeri NSN. Clinical study of Tinea Capitis in North Karnataka: A three-year experience at a single institute. Indian Dermatol Online J 2013;4(1):22-26.
Bassyouni RH, El-Sherbiny NA, El-Raheem TAA, Mohammed BH. Changing in the Epidemiology of Tinea Capitis among school children in Egypt. Ann Dermatol 2017;29(1):13-19.
Hay RJ. Tinea capitis: Current status. Mycopathologia 2017;182(1):87-93.
John AM, Schwartz RA, Janniger CK. The kerion: an angry tinea capitis. Int J Dermatol 2018;57:3-9.
Bhat YJ, Zeerak S, Kanth F, Yaseen A, Hassan I, Hakak R. Clinicoepidemiological& mycological study of tinea capitis in the pediatric population of Kashmir Valley: a study from a tertiary care center. Indian Dermatol Online J 2017;8(2):100-103.
Tafti HS, Falahati M, Kordbacheh P, Mahmoudi M, Safara M, Rashidian S et al. A survey of the etiological agents of scalp and nail dermatophytosis in Yazd, Iran in 2014-2015. Curr Med Mycol 2015;1(4):1-6.
Haedersdal M, Svejgaard EL. Once weekly Fluconazole in Children with Tinea capitis due to MicrosporumCanis. ActaDermVenereol 2004;85:177-78.
Elghblawi E. Tinea capitis in children &trichoscopic criteria. Int J Tricology 2017;9(2):47-49.
Zainab A, Tahir R, Hanif MM. Efficacy of Terbinafine versus Itraconazole in treatment of tinea capitis. J Shaheed Zulfiaqar Ali Bhutto Med Coll 2016;7(3):1027-30.
Doss RW, El-Rifaie AA, Radi N, El-Sherif AV. Antimicrobial susceptibility of Tinea Capitis in children from Egypt. Indian J Dermatol 2018;63(2):155-9.
Grover C, Arora P, Manchanda V. Comparative evaluation of Griseofulvin, Terbinafine & Fluconazole in the treatment of Tinea Capitis. Int J Dermatol 2012;51:455-58.
Rayala BZ, Morrell DS. Common Skin Conditions in Children: Skin Infections. FP Essent. 2017 Feb. 453:26-32.
Veasey JV, Miguel BAF, Mayor SAS, Zaitz C, Muramatu LH, Serrano JA. Epidemiological profile of tinea capitis in São Paulo City. An Bras Dermatol. 2017 Mar-Apr. 92 (2):283-284.
Fu M, Ge Y, Chen W, Feng S, She X, Li X, et al. Tinea faciei in a newborn due to Trichophyton tonsurans. J Biomed Res. 2013 Jan. 27(1):71-4.
Seebacher C, Bouchara JP, Mignon B. Updates on the epidemiology of dermatophyte infections. Mycopathologia. 2008 Nov-Dec. 166(5-6):335-52.
Kondo M, Nakano N, Shiraki Y, Hiruma M, Ikeda S, Sugita T. A Chinese-Japanese boy with black dot ringworm due to Trichophyton violaceum. J Dermatol. 2006 Mar. 33(3):165-8. [Medline].
Abdel-Rahman SM, Farrand N, Schuenemann E, Stering TK, Preuett B, Magie R, et al. The prevalence of infections with Trichophyton tonsurans in schoolchildren: the CAPITIS study. Pediatrics. 2010 May. 125 (5):966-73. [Medline].
Mirmirani P, Tucker LY. Epidemiologic trends in pediatric tinea capitis: a population-based study from Kaiser Permanente Northern California. J Am Acad Dermatol. 2013. 69(6):916-21. [Medline].
Hogewoning A, Amoah A, Bavinck JN, Boakye D, Yazdanbakhsh M, Adegnika A, et al. Skin diseases among schoolchildren in Ghana, Gabon, and Rwanda. Int J Dermatol. 2013 Apr 4. [Medline].
Pai VV, Hanumanthayya K, Tophakhane RS, Nandihal NW, Kikkeri NS. Clinical study of Tinea capitis in Northern Karnataka: A three-year experience at a single institute. Indian Dermatol Online J. 2013 Jan. 4(1):22-6. [Medline]. [Full Text].
Fulgence KK, Abibatou K, Vincent D, Henriette V, Etienne AK, Kiki-Barro PC, et al. Tinea capitis in schoolchildren in southern Ivory Coast. Int J Dermatol. 2013 Apr. 52(4):456-60. [Medline].
Thakur R. Tinea capitis in Botswana. Clin Cosmet Investig Dermatol. 2013. 6:37-41. [Medline]. [Full Text].
Leiva-Salinas M, Marin-Cabanas I, Betlloch I, Tesfasmariam A, Reyes F, Belinchon I, et al. Tinea capitis in schoolchildren in a rural area in southern Ethiopia. Int J Dermatol. 2015 Jul. 54 (7):800-5. [Medline].
Nasir S, Ralph N, O'Neill C, Cunney R, Lenane P, O'Donnell B. Trends in Tinea Capitis in an Irish Pediatric Population and a Comparison of Scalp Brushings Versus Scalp Scrapings as Methods of Investigation. Pediatr Dermatol. 2013 Feb 22. [Medline].
Fuller LC, Child FJ, Midgley G, Higgins EM. Diagnosis and management of scalp ringworm. BMJ. 2003 Mar 8. 326 (7388):539-41. [Medline].
Jain N, Doshi B, Khopkar U. Trichoscopy in alopecias: diagnosis simplified. Int J Trichology. 2013 Oct. 5(4):170-8. [Medline]. [Full Text].
Park J, Kim JI, Kim HU, Yun SK, Kim SJ. Trichoscopic Findings of Hair Loss in Koreans. Ann Dermatol. 2015 Oct. 27 (5):539-50. [Medline].
Lacarrubba F, Micali G, Tosti A. Scalp Dermoscopy or Trichoscopy. Curr Probl Dermatol. 2015 Feb. 47:21-32. [Medline].
Sahin GO, Dadaci Z, Ozer TT. Two cases of tinea ciliaris with blepharitis due to Microsporum audouinii and Trichophyton verrucosum and review of the literature. Mycoses. 2014 Apr 13. [Medline].
Akbaba M, Ilkit M, Sutoluk Z, Ates A, Zorba H. Comparison of hairbrush, toothbrush and cotton swab methods for diagnosing asymptomatic dermatophyte scalp carriage. J Eur Acad Dermatol Venereol. 2008 Mar. 22(3):356-62. [Medline].
Published
How to Cite
Issue
Section
Copyright (c) 2023 International journal of health sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.








