From the Guidelines
Tinea capitis, a fungal infection of the scalp, should be treated with oral antifungal medication, typically griseofulvin or terbinafine, for 6-8 weeks, as recommended by the British Association of Dermatologists' guidelines for the management of tinea capitis 2014 1. The choice of systemic therapy should be directed by the causative dermatophyte and/or local epidemiology, with terbinafine being more efficacious against Trichophyton species and griseofulvin more effective against Microsporum species 1.
- The recommended dose of griseofulvin is 15-20 mg/kg/day for children weighing less than 50 kg and 1 g per day for children weighing more than 50 kg, for 6-8 weeks 1.
- The recommended dose of terbinafine is 62.5 mg per day for children weighing less than 20 kg, 125 mg per day for children weighing 20-40 kg, and 250 mg per day for children weighing more than 40 kg, for 2-4 weeks 1. Treatment should be accompanied by antifungal shampoo containing ketoconazole or selenium sulfide used 2-3 times weekly to reduce spore shedding, and family members should be examined for infection and household items like combs, brushes, and bedding should be cleaned to prevent reinfection 1. Key considerations in the management of tinea capitis include:
- Confirming the diagnosis through laboratory testing, such as microscopy and culture 1.
- Allowing children to return to school once they have been commenced on appropriate systemic and adjuvant topical therapy and followed up until mycological clearance is documented 1.
- Screening family members and close contacts for infection, particularly in cases due to T. tonsurans 1.
From the Research
Times Capitus
There are no research papers to assist in answering this question. The provided studies do not mention "Times capitus" and appear to be related to migraine treatment and diagnosis.
- The studies discuss various treatments for migraine, including triptans, nonsteroidal anti-inflammatory drugs, and monoclonal antibodies 2, 3, 4.
- Some studies examine the diagnostic utility of triptans in alleviating "sinus headache" and the use of neuroimaging in patients with migraine 5, 6.
- However, none of the studies provide information on "Times capitus", suggesting that it may not be a recognized medical term or condition.