Part 4: When to refer

If the rash is not improving or worsening despite using over-the-counter treatments.

If the itching is severe and disrupting sleep or daily activities.

If there are signs of a secondary infection, such as increased redness, swelling, pain, or oozing from the affected areas.

If the patient is pregnant or breastfeeding and requires tinea treatment.

If the patient is under 12 years of age and tinea is suspected.

If there is uncertainty about the diagnosis or the most suitable treatment.

If the patient reports recurring tinea infections or symptoms returning after completing treatment.