How to treat tinea (dermatophytosis)

Dermatophytosis (commonly known as “ringworm”) is typically caused by fungal infections of superficial tissues, including hair, skin, and nails. On the skin, it commonly manifests as red, scaly, pruritic (itchy) patches. So, how should dermatophytosis be managed?

How to Manage Dermatophytosis

Dermatophytosis encompasses several clinical forms, including tinea corporis (body ringworm), tinea cruris (jock itch), and tinea manuum/pedis (hand/foot ringworm). When the infection predominantly affects the hands and feet, it is termed tinea manuum or tinea pedis; when localized to the groin and inner thighs, it is referred to as tinea cruris; and when occurring elsewhere on the body, it is classified as tinea corporis.

Fungal infections are closely associated with local skin moisture, heat, and excessive sweating. Therefore, management focuses on maintaining a cool, dry, and well-ventilated environment for the affected areas. For mild cases, topical antifungal agents are usually sufficient—examples include miconazole nitrate, ketoconazole, and econazole. In more severe or extensive infections, systemic antifungal therapy may be required, such as terbinafine, fluconazole, or itraconazole. Topical treatment typically lasts two to four weeks, while oral therapy duration depends on disease severity but generally ranges from two to four weeks.

Avoid scratching, as this may worsen skin lesions and promote lesion spread. Avoid strongly irritating foods—including spicy foods, alcohol, tobacco, and seafood. Do not misuse medications. Maintain a balanced diet rich in high-quality protein sources such as eggs, chicken, and dairy products. Also ensure adequate intake of vitamin-rich foods, including fresh fruits and vegetables, whole grains, and animal liver. Limit consumption of high-fat and high-sugar foods. We hope this information proves helpful!