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In recent years, a marked shift in the epidemiology of causative dermatophytes has been observed in Europe, driven by migration, tourism, and socioeconomic factors, with an increasing prevalence of anthropophilic species, particularly\n                    <jats:italic>Trichophyton tonsurans<\/jats:italic>\n                    and\n                    <jats:italic>Trichophyton violaceum<\/jats:italic>\n                    .\n                  <\/jats:p>\n                  <jats:p>\n                    From a therapeutic perspective, a combination of systemic and topical antifungal treatment is recommended, as topical monotherapy is generally insufficient. In pediatric patients, the choice of systemic antifungal therapy is primarily guided by the identified pathogen, with\n                    <jats:italic>Trichophyton<\/jats:italic>\n                    infections preferably treated with terbinafine (\n                    <jats:italic>off\u2010label<\/jats:italic>\n                    ) and\n                    <jats:italic>Microsporum\/Nannizzia<\/jats:italic>\n                    infections with itraconazole (\n                    <jats:italic>off\u2010label<\/jats:italic>\n                    ) or griseofulvin. In adult patients, terbinafine is recommended as first\u2010line therapy irrespective of the causative species.\n                  <\/jats:p>\n                  <jats:p>In addition, the guideline addresses measures to interrupt chains of infection, including the treatment of asymptomatic carriers, implementation of hygiene measures, and management of outbreak situations in community settings.<\/jats:p>","DOI":"10.1111\/ddg.70395x","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T08:10:02Z","timestamp":1784016602000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Consensus\u2010based Guideline on tinea capitis"],"prefix":"10.1111","volume":"24","author":[{"given":"Peter","family":"Mayser","sequence":"first","affiliation":[{"name":"Biebertal  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