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James R. Wharton, MD; Patricia L. Wilson, MD; Jay M. Kincannon, MD
From the Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock

Arch Dermatol. 1998;134:671-672.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF CASES

Three patients presented to our clinic with erythrasma. The results of the clinical examination of each patient showed bilateral patches of erythema in the plicae inguinalis with minimal fine scaling and no central clearing. One patient also had a small superficial erosion in the right plica inguinalis. The results of an examination using Wood light showed coral red fluorescence in each patient. Potassium hydroxide preparations were negative for hyphae or yeast and bacterial cultures grew normal skin flora.

THERAPEUTIC CHALLENGE

Traditionally, erythrasma has been treated with oral erythromycin or various topical regimens. Single-dose clarithromycin holds the potential to be a safe, cost-effective, well-tolerated alternative to a more lengthy course of erythromycin.

SOLUTION

Each patient was given a single 1-g dose of clarithromycin. One patient who had multiple recurrent episodes of erythrasma was also instructed to wash with dilute chlorhexidine gluconate solutions . . . [Full Text of this Article]

COMMENT

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Single-Dose Clarithromycin for Erythrasma
Journal Watch Dermatology 1998;1998:2-2.
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