Tinea - Neonatal Disorders

What is Tinea?

Tinea, also known as dermatophytosis or ringworm, is a common fungal infection that affects the skin, hair, and nails. It is caused by dermatophytes, a group of fungi that thrive on keratin. Tinea can present in various forms depending on the affected body part.

Common Types of Tinea in Children

Tinea capitis: Affects the scalp, more common in prepubertal children. Symptoms include scaly patches, alopecia, and sometimes kerion (a painful, inflammatory mass).
Tinea corporis: Affects the body, presenting as round, red, and scaly patches with clear centers.
Tinea pedis (Athlete's foot): Affects the feet, particularly between the toes, causing itching, scaling, and sometimes blisters.
Tinea cruris (Jock itch): Affects the groin area, more common in older children and adolescents, presenting as itchy, red patches.
Tinea unguium (Onychomycosis): Affects the nails, leading to thickening, discoloration, and splitting of the nails.

How is Tinea Diagnosed?

Diagnosis is usually based on clinical presentation and appearance of the lesions. A KOH preparation of skin scrapings can be performed to identify fungal elements under a microscope. In some cases, a fungal culture or a Wood's lamp examination may be used to confirm the diagnosis.

What are the Treatment Options?

Treatment depends on the type and severity of the infection. Common options include:
Topical antifungals: First-line treatment for most tinea infections, including tinea corporis, tinea cruris, and mild tinea pedis. Examples include clotrimazole, miconazole, and terbinafine.
Oral antifungals: Used for extensive or refractory cases, and for tinea capitis and tinea unguium. Examples include griseofulvin, terbinafine, and itraconazole.
Good hygiene practices: Keeping the affected area clean and dry, avoiding sharing personal items, and wearing loose-fitting clothing can help prevent the spread of infection.

How Can Tinea be Prevented?

Preventive measures include:
Maintaining good personal hygiene.
Keeping skin dry and clean, especially in areas prone to moisture.
Avoiding sharing personal items such as towels, combs, and clothing.
Wearing breathable, loose-fitting clothing and footwear.
Educating children on the importance of not sharing personal items and maintaining hygiene.

When to See a Pediatrician?

Parents should consult a pediatrician if:
The child has persistent or worsening symptoms despite using over-the-counter antifungal treatments.
The infection is widespread or involves the scalp or nails.
There are signs of a secondary bacterial infection, such as increased redness, swelling, or pus.
The child has a weakened immune system or other underlying health conditions.

Conclusion

Tinea is a common and treatable condition in children. Early recognition, appropriate treatment, and preventive measures can effectively manage and reduce the risk of recurrence. If in doubt, seeking medical advice from a pediatrician can ensure proper care and management.



Relevant Publications

Issue Release: 2024

Partnered Content Networks

Relevant Topics