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Long-Standing Tinea Corporis Published on OBGYN.Net (http://www.obgyn.net) Long-Standing Tinea Corporis September 14, 2005 By Joe Monroe, PA-C [1] For more than 20 years, a 55-year-old man had a faintly erythematous, papulosquamous rash with arciform borders on his groin and waistline. The rash had been treated with a variety of medications. Topical and oral antifungals and antibiotics and topical corticosteroids had been used but to no avail. No laboratory tests had been performed. For more than 20 years, a 55-year-old man had a faintly erythematous, papulosquamous rash with arciform borders on his groin and waistline. The rash had been treated with a variety of medications. Topical and oral antifungals and antibiotics and topical corticosteroids had been used but to no avail. No laboratory tests had been performed. A potassium hydroxide preparation demonstrated abundant hyphae; tinea corporis was diagnosed. Oral terbinafine, 250 mg/d for 2 weeks, and terbinafine spray, used twice daily for 1 month, controlled—but did not cure—the condition. The patient apparently was very susceptible to the fungal organisms, which had contaminated his environment, including clothes, bedding, and carpet, for more than 2 decades. The patient was advised to use miconazole powder daily and occasional applications of terbinafine spray indefinitely to control the infection. Source URL: http://www.obgyn.net/articles/long-standing-tinea-corporis Links: [1] http://www.obgyn.net/authors/joe-monroe-pa-c Page 1 of 1