Fungal skin infections

Differential diagnosis

• Tinea corporis (ring worm) – round, red, scaly patches with central clearing
• Fungal nail infections – clippings, nail lacquer (6-12 months treatment), PO antifungals if refractory
• Pityriasis versicolor – ketoconazole shampoo – lather on affected areas of body
• Pityriasis rosea – herald patch followed by smaller rashes, self limiting viral illness
• Pityriasis alba – hypopigmented patches on cheeks, self limiting
• Nappy rash – frequent nappy changes, air dry, barrier cream (Metanium/Bepanthen/Ilex), antifungal if satellite lesions/skin folds affected