Scope
The Bottom Line
- Confirm an annular scaly edge or interdigital pattern and examine nails, scalp and other reservoirs; sample atypical or treatment-resistant disease.
- Use topical antifungal treatment for limited skin disease and continue for the source-recommended duration beyond visible clearing.
- Moccasin-type foot scale and nail infection can sustain recurrent groin or body disease and need reservoir management.
- Avoid topical corticosteroid鈥揳ntifungal combinations that mask morphology and create tinea incognito unless a specialist indication exists.
Practical clinical workflow
Topic-specific assessment action
Topic-specific diagnostic action
Topic-specific management action
Topic-specific follow-through
Safety boundaries and escalation
- Extensive disease, scalp or nail involvement, immunocompromise, secondary cellulitis or failure despite adherence warrants further investigation or referral.
- A potassium-hydroxide preparation or fungal culture can prevent unnecessary systemic therapy when morphology is altered.
Implementation
Clinical use boundary
This independently written summary is not an official guideline. Check the linked source version, current TGA-approved product information where medicines are involved, and the applicable state, territory and local pathway at the point of care.
Source documents
Use the linked source documents for complete recommendations, evidence grading, exclusions and implementation detail.
- Telethon Kids InstituteNational Healthy Skin Guideline: for the prevention, treatment and public health control of impetigo, scabies, crusted scabies and tinea2nd edition, 2023 路 accessed 2026-08-20view source
From guidance to deliberate practice and evidence
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