From the Guidelines
Tinea manuum is best treated with oral antifungal medications, specifically terbinafine, due to its superior efficacy in treating fungal infections, as evidenced by studies showing its effectiveness in treating T corporis and T capitis infections 1. When treating Tinea manuum, it is essential to consider the severity of the infection and the potential causes.
- For mild to moderate cases, topical antifungals like clotrimazole 1% cream, miconazole 2% cream, or terbinafine 1% cream may be used, applied twice daily for 2-4 weeks.
- However, for more severe or resistant infections, oral antifungals like terbinafine 250mg daily for 2-4 weeks or itraconazole 200mg daily for 1-2 weeks may be necessary, as they have proven efficacious in treating most cases of T corporis, with terbinafine appearing superior for T tonsurans 1. Some key considerations during treatment include:
- Keeping hands clean and dry
- Avoiding sharing towels or personal items
- Wearing breathable gloves if hands are frequently exposed to moisture These measures can help prevent the spread of the infection and promote a healthy environment for the infected skin to heal. It is crucial to continue treatment for at least one week after symptoms resolve to prevent recurrence, as the infected skin needs time to grow out and be replaced with healthy tissue. If the infection doesn't improve after 2 weeks of treatment or worsens, it is essential to consult a healthcare provider, as different antifungals or a different condition altogether may be necessary 1.
From the Research
Treatment for Tinea Manuum
- Tinea manuum is a fungal infection of the hand, and its treatment is similar to that of other superficial fungal infections.
- According to 2, a 2-week treatment with oral terbinafine (250 mg once daily) was effective in treating tinea manuum, with 86% of patients achieving mycological negativity.
- Topical therapy is also an option for treating tinea manuum, and agents such as terbinafine, clotrimazole, and other azoles or allylamines may be used 3, 4.
- The treatment duration for tinea manuum is typically 2-4 weeks, depending on the severity of the infection and the chosen treatment regimen 4, 5.
Treatment Options
- Oral terbinafine (250 mg once daily for 2 weeks) is a effective treatment option for tinea manuum 2.
- Topical terbinafine, clotrimazole, or other azoles or allylamines may be used for 2-4 weeks 3, 4.
- Treatment should continue for at least one week after clinical clearing of the infection 4.