A 9 year-old girl presents with an annular plaque on the arm with peripheral scale. Topical nystatin ointment is prescribed and 2 weeks later the rash is unchanged. What is the next best step?
Characteristic lesions on arm with annular plaque and peripheral scaling is seen in dermatophyte infection Treatment involves the use of oral terbinafine, fluconazole, itraconazole, griseofulvin or one of several well-tried topical preparations.
Sta appropriate antifungal with efficacy against dermatophytes.
Sta an oral antibiotic
Topical coicosteroid
Longer course of nystatin
Fungal infections