In medicine, a finger tip unit (FTU) is defined as the amount of ointment, cream or other semi-solid dosage form expressed from a tube with a 5 mm diameter nozzle, applied from the distal skin-crease to the tip of the index finger of an adult. J Am Acad Dermatol 2000; 42: 1017-1020.Long CC, Mills C, Finlay AY. Management of atopic eczema.
Arch Dermatol 1992: 128; 1130-1131.Maloney JM, Morman MR, Stewart DM, Tharp MD, Brown JJ, Rajagopalan R. Clobetasol propionate emollient 0.05% in the treatment of atopic dermatitis. If you have any concerns with your skin or its treatment, see a dermatologist for advice.
Dekio I, Morita E. The weight of a finger-tip unit of ointment in 5-gram tubes. “Fingertip unit” in dermatology.
Two FTUs are about the same as 1 g of topical steroid.
Int J Dermatol 1998; 37: 142-144. DermNet provides Google Translate, a free machine translation service.
See chart (below) created from the original study that developed the FTU.¹. What Is The Correct Daily Dosage For Fingertip Units?
A practical guide to topical therapy in children. Cutan Ocul Toxicol 2007; 26 (4): 303-9.Kapadia N, Ghouri S. Efficacy, safety and tolerability of mometasome furoate 0.1% cream, ointment and lotion in childhood eczema. The following is a sample prescription and stepwise approach to calculate day s’ supply. Clin Exper Dermatol 1991; 16: 444-446.Thomas CL, Finlay AY.
Eur J Clin Pharmacol 1996; 51: 253-257.Karabulut AA, Izol Serel B, Eksioglu HM. Indian J Dermatol, Venereol and Leprol 2004; 70: 214-216.Shohrati M, Davoudi M, Almasi M, Sadr B. Peyman M. Comparative study of Unna’s Boot and betamethasone cream in the treatment of sulfur mustard-related pruritus. The rule of hand: 4 hand areas = 2 FTU = 1 g. Arch Dermatol 1992; 128: 1130-1131.Castanedo-Cazares JP, Torres-Alvarez B, Martinez-Rodriguez A, Diaz-Rosales A, Moncada B.
2015 Oct 8. doi: 10.1002/jps.24666.Safavi K. Serum vitamin A levels in psoriasis: results from the first National Health and Nutrition Examination Survey. J Pakistan Ass Dermatol 2008; 18; 93-96.Siddique MI, Katas H, Iqbal Mohd Amin MC, Ng SF, Zulfakar MH, Buang F, Jamil A. Minimization of Local and Systemic Adverse Effects of Topical Glucocorticoids by Nanoencapsulation: In Vivo Safety of Hydrocortisone-Hydroxytyrosol Loaded Chitosan Nanoparticles.
Comparison of parent knowledge, therapy utilization and severity of atopic eczema before and after explanation and demonstration of topical therapies by a specialist dermatology nurse. Not only is your skin thinner, according to body part, it is more corticosteroid-sensitive in certain areas. (This assumes the tube has a standard 5 mm nozzle.) a "handprint". A fingertip is from the very end of the finger to the first crease in the finger. DermNet NZ does not provide an online consultation service. The "distal skin-crease" is the skin crease over the joint nearest the end of the finger. She uses 2.4 g in one day (2 arms x 3 fingertip units x 0.4 g = 2.4 g).
Fam Med Forum 2009; 3: 347-358.Menter A, Korman NJ, Elmets CA, Feldman SR et al. • There are various estimates for body surface area and the number of FTUs required. Editors Hill DJ, Elwood JM, English DR. Kluwer Academic Publishers, Dordrecht, 2004.Bewley A; Dermatology Working Group.
Half an hour versus three hour contact of topical steroid (clobetasol propionate). Two FTUs are approximately equivalent to 1 g of topical steroid. J Dermatolog Treat 2011; 22: 302-3.Feldman SR, Sangha N, Setaluri V. Topical corticosteroid in foam vehicle offers comparable coverage compared with traditional vehicles. Gac Med Mex 2006; 142: 35-38. Therefore, for example, say you treat an area of skin the size of eight adult hands. Triamcinolone 0.1% cream 80 gm, apply to the affected area twice daily 1.
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