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Tinea Gladiatorum (Capitis, Corporis, Cruris, Pedis), Sports Medicine

Philipp J. Underwood, MD, FAAEM, FACEP, FAAFP, CAQSM, RDMS Reviewed 04/2019
 


BASICS

DESCRIPTION

  • This group of topical fungal infections commonly affects athletes, particularly wrestlers. They are classified by site of infection: Tinea capitis involves the scalp and hairline; ti...

DIAGNOSIS

Scraping of the leading edge of the skin plaque and preparation with potassium hydroxide (KOH) 5–20% can be examined under the microscope. This will reveal hyphae and pseudohyphae, which are...

TREATMENT

MEDICATION

  • Primary treatment for tinea corporis, cruris, and pedis is with topical antifungal agents. Primary treatment for tinea capitis is oral antifungal agents.

  • Initial treatment also may ...

ONGOING CARE

ALERT

Wrestling return to play:

  • National Collegiate Athletic Association (NCAA): A minimum of 2 wk of systemic antifungal therapy is required for scalp lesions. A minimum of 72 hr of topica...

REFERENCES

1
Amichai B, Grunwald MH, Davidovici B, et al. The effect of domestic laundry processes on fungal contamination of socks. Int J Dermatol.  2013;52(11):1392–1394.
2
El-Gohary M, van Zuuren...

CLINICAL PEARLS

  • All areas of tinea infection need to be treated simultaneously to reduce risk of reinfection.

  • Prevention strategies can reduce the risk to the participant and others.

  • Consider oral fluco...

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