Kovacs S O, Hruza L L
Division of Dermatology, Washington University School of Medicine, St Louis, USA.
Postgrad Med. 1995 Dec;98(6):61-2, 68-9, 73-5.
Systematic analysis of possible dermatophyte and candidal skin infections leads to an accurate diagnosis and prompt treatment with a specific regimen. The first steps are thorough skin examination and evaluation with a potassium hydroxide preparation. Tinea corporis, tinea cruris, tinea pedis, cutaneous candidiasis, and tinea versicolor can be treated with many topical antifungal agents, whereas tinea capitis requires oral griseofulvin therapy. Frequently used topical medications for tinea and candidal infections include clotrimazole (Lotrimin, Mycelex), econazole nitrate (Spectazole), ketoconazole (Nizoral), miconazole nitrate (Monistat-Derm, Micatin), oxiconazole nitrate (Oxistat), and ciclopirox olamine (Loprox). Topical selenium sulfide lotion can also be used for tinea versicolor, which is often a recalcitrant problem.
对可能的皮肤癣菌和念珠菌皮肤感染进行系统分析可实现准确诊断，并采用特定方案进行及时治疗。首先要进行全面的皮肤检查，并通过氢氧化钾制剂进行评估。体癣、股癣、足癣、皮肤念珠菌病和花斑癣可用多种外用抗真菌剂治疗，而头癣则需要口服灰黄霉素治疗。常用于治疗癣和念珠菌感染的外用药物包括克霉唑（益康唑、霉可唑）、硝酸益康唑（斯皮仁诺）、酮康唑（采乐）、硝酸咪康唑（达克宁、米可定）、硝酸奥昔康唑（奥西康唑）和环吡酮胺（环利）。外用硫化硒洗剂也可用于治疗花斑癣，这通常是一个顽固的问题。
