No excuse for prescribing combination antifungal/corticosteroid creams

The brief report of Wheat et al is a wake-up call to all primary care physicians, especially pediatricians, who routinely treat children for superficial fungal infections or contact dermatitis. Combination antifungal/corticosteroid creams (such as Lotrisone and Mycolog II) are "bad medicine" for superficial fungal infections, with treatment outcomes documenting inferior clinical effectiveness and higher recurrence rates, higher purchase costs compared with topical antifungal agents alone, all the while incurring potential serious adverse local and systemic effects of corticosteroids.

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