Key points for treatment of sporotrichosis

• The main treatments in use are saturated potassium iodide solution and itraconazole.

• The disadvantage of potassium iodide is the high frequency of side-effects but the preparation is cheap.

• Fluconazole and terbinafine are alternatives, both of which show promise.

• Itraconazole appears to be effective but is used for similar long treatment periods to those used with potassium iodide. Comparative studies with terbinafine and fluconazole are needed.

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