Australian Aborigines and ringworm (tinea)

Green, Allen C

doi:10.1111/j.1440-0960.1998.tb01283.x

Cited by 2 publications

(3 citation statements)

References 4 publications

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“…Tinea corporis lesions were described to have variable scaling, increased pigmentation, sometimes papules and lichenification, with spreading edges or indistinct margins 11 . The present study found similar clinical presentations and confirmed the high incidence of T. rubrum granular strains causing tinea corporis in this region.…”

Section: Discussionsupporting

confidence: 86%

“…A large proportion of the Aboriginal population lives in remote communities, several hundreds of kilometres away from the territory capital, Darwin. In one summary on Aborigines and tinea it was observed that tinea corporis is often extensive, with multiple sites affected and variable itch 11 . The authors' retrospective study found that both arms or legs and the chest were the most commonly affected areas.…”

Section: Discussionmentioning

confidence: 99%

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Use of terbinafine for tinea in Australian Aboriginal communities in the Top End

et al. 2003

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Tinea of the skin and nails is a common problem in remote Aboriginal communities of the Top End of Australia. A retrospective study was performed on data collected from 104 patients from several indigenous communities. Worksheets were filled in by district medical officers and rural general practitioners, detailing the extent of the tinea. Patients were prescribed between 4 and 12 weeks of 250 mg daily oral terbinafine. Fifty-two patients were followed up, with 45 having a good response to treatment (87%) and with 22 of these patients having full clearance of tinea (42%). A prospective study with 44 subjects was performed. The extent of the tinea was documented and fungal scrapings/clippings were taken. Forty subjects were recruited and given oral terbinafine (2-12 weeks depending on skin/nail involvement) or topical terbinafine if oral treatment was contraindicated. Twenty-five of the 40 (63%) subjects were reviewed. Twenty-three (92%) subjects that were followed up improved clinically, with 8/25 (32%) clearing completely. Twenty (80%) of followed-up patients complied fully with treatment. Terbinafine was found to be a well-tolerated and effective treatment of tinea of the skin and nails.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Use of terbinafine for tinea in Australian Aboriginal communities in the Top End

et al. 2003

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“…Under the Microscope of the extensive skin involvement and longer treatment course required (usually 4 weeks) treatment is often abandoned. Griseofulvin was previously recommended for treating tinea 1,2 , being the only systemic antifungal available at the time; however, it has now been recognised to be less well-tolerated and less effective than newer oral antifungals, particularly in the treatment of onychomycosis, with higher relapse rates upon ceasing 7,11 . Anecdotal experience from many years of griseofulvin use in Aboriginal communities is that the prolonged griseofulvin treatment required for extensive tinea corporis was rarely completed.…”

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confidence: 99%