Efficacy

Three RCTs showed no evidence that the use of oral58,59 or intralesional60 corticosteroids as adjunctive therapy with oral griseofulvin in inflammatory tinea capitis (kerion) results in additional or faster improvement of kerion. One RCT60 of 30 children with T. tonsurans tinea capitis showed that intralesional injection of corticosteroid combined with oral griseofulvin is no better than griseofulvin alone for treatment of kerion and found no significant differences in the time to negative culture, time of onset of new hair growth, complete regrowth of hair or time to scalp clearing. In this study all patients were instructed to shampoo their hair with 1% selenium sulphide twice weekly for 3 weeks. Two RCTs58,59 using oral corticosteroids showed no additional benefit in terms of improvement, reduction in the severity of clinical signs or pathogen eradication.

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Natural Treatments For Psoriasis

Natural Treatments For Psoriasis

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