This review pooled 51 trials with 9,052 people to test antifungal treatments applied to the skin. People using ketoconazole were about 31% less likely to still have symptoms at four weeks than those using a dummy treatment, and ketoconazole worked as well as steroids but caused fewer side effects. Ciclopirox also beat placebo. Most studies were short (four weeks or less), so long-term evidence is limited.