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Management of onychomycosis in children
Antonella Tosti1, Bianca Maria Piraccini, Matilde Iorizzo
1Department of Dermatology, University of Bologna, Via Massarenti 1, 40138 Bologna, Italy. tosti@almadns.unibo.it
Dermatologic Clinics
|September 6, 2003
Insights
Terbinafine, itraconazole, and fluconazole are effective treatments for pediatric onychomycosis. Dosages are weight-based, and treatment duration matches adult protocols for these common fungal nail infections.
Area of Science:
- Mycology
- Pediatric Dermatology
- Pharmacology
Background:
- Onychomycosis, a fungal nail infection, affects children.
- Systemic antifungal therapies are options for pediatric onychomycosis.
Purpose of the Study:
- To evaluate the efficacy and tolerability of systemic antifungal agents for pediatric onychomycosis.
Main Methods:
- Review of clinical data on terbinafine, itraconazole, and fluconazole use in children.
- Analysis of dosage guidelines and treatment durations.
Main Results:
- Terbinafine, itraconazole, and fluconazole demonstrate effectiveness in treating pediatric onychomycosis.
- These antifungals are well-tolerated in the pediatric population.
- Dosage is determined by body weight, a key factor in pediatric prescribing.
Conclusions:
- Systemic antifungal medications are a viable treatment for children with onychomycosis.
- Weight-based dosing ensures appropriate therapeutic levels.
- Consistent treatment duration with adult protocols simplifies management.
Abstract:
Terbinafine, itraconazole, and fluconazole are effective and well tolerated for treating onychomycosis in children. Dosage depends on body weight. Duration of treatment is the same for adults.
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