As shown in Figure 5, the information preceding each equal sign (=) will be displayed as a Field title in the Text display of the spectrum and can optional be displayed with the Plot of the spectrum. The information following the equals sign (=) will appear following the Field header. Entry of Field contents (string) must conform to the rules above. In order for this display to occur, the Field titles must be registered in the Display comment field options dialog box shown in Figure 4 ( View/Comment fields options ). When the Tags have been entered into the Comment Field Options dialog box, they will not be displayed in the Comments field of the Text Information window. Figure 5 shows a spectrum (Plot and Text) with added Field headers.
Tinea capitis must be treated with systemic antifungal agents because topical agents do not penetrate the hair shaft. However, concomitant treatment with 1% or % selenium sulfide (Selsun) shampoo or 2% ketoconazole shampoo should be used for the first two weeks because it may reduce transmission. 12 , 13 For many years, the first-line treatment for tinea capitis has been griseofulvin because it has a long track record of safety and effectiveness. However, randomized clinical trials have confirmed that newer agents, such as terbinafine and fluconazole (Diflucan), have equal effectiveness and safety and shorter treatment courses 14 – 16 ( Table 4 ) . 2 , 12 , 17 – 20 Terbinafine may be superior to griseofulvin for Trichophyton species, whereas griseofulvin may be superior to terbinafine for the less common Microsporum species. 21 , 22 Culture results are usually not available for two to six weeks, but 95% of tinea capitis cases in the United States are caused by Trichophyton , making terbinafine a reasonable first choice. 23 However, kerion should be treated with griseofulvin unless Trichophyton has been documented as the pathogen. 2 , 17 Failure to treat kerion promptly can lead to scarring and permanent hair loss. 2