By Gary M. White, MD
Tinea barbae is a term that refers to a fungal infection of the beard area in men. One specific form occurs in cattle farmers and is caused by the dermatophyte Trichophyton verrucosum. In the past, infection was frequently transmitted by barbers who used unsanitary razors. Now that single use razors are common, this condition is much less frequent.
The clinical appearance is that of a kerion. There is significant tissue inflammation and swelling. There may be follicular pustules and crust. The condition is often confused with a bacterial infection. Occasionally, herpes simplex may present in a similar manner.
Usually, an oral antifungal agent is needed. Typical courses include [Dermatology Online Journal, 14(11)].
- Terbinafine 250 mg, once daily for 4 weeks.
- Itraconazole 200 mg/day for four to six weeks.
- Griseofulvin 500 mg-1000 mg daily for six to twelve weeks.
Dermatology Online Journal, 14(11)
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