Id reactions can manifest in many forms of tinea with patients generally exhibiting pruritic papulovesicular lesions that can present far from the site of origin.4 Patients with id reactions can have atypical and varied presentations. [mdedge.com]

We present case of highly inflammatory tinea capitis, also known as kerion celsi with dermatophytide reaction caused by M. canis. [bib.irb.hr]

Dr Amit Kumar, Dermatologist, Ranchi: In diabetic patients we can’t exclude sir…because they can present as unusual presentation. Dr Bhanu Pratap Singh: Lesions are ring like with central clearing, but non-itchy. [cmeindia.in]

Dermatophytide Diagnosis The diagnosis of a dermatophytide is made by the clinical presentation and confirmed by microscopy and culture of the primary skin infection. [dermnetnz.org]

• Inflammation

  From the morphological point of view the causal lesions are characterized by intense inflammation; not by chance the first dermatophytide was described by Jadassohn in a kerion. [ejpd.com]

  […] unguium(onychomycosis); nail Preventing dermatophytosis; non occlusive footwear and cotton socks uring antifungal abserbent powders clip nails old shoes should be discrarded Management Topical beneficial for common localised dermatophyte infection non-inflamm [rorymiller.github.io]

  They may be used if there is a lot of skin inflammation. They should be used for a week only. Referral may be needed if diagnosis is in doubt. Complications The main complication is secondary bacterial infection. [patient.info]

  […] of autologous skin antigens Stimulation of normal T cells by changing skin constituents Lower threshold for skin irritation Spreading of infectious antigens causing a secondary response Hematogenous dissemination of cytokines from the primary site of inflammation [en.wikipedia.org]

• Pain

  […] contagious Oral antifungal required: drug must penetrate hair follicicle topical treatment = ineffective Trichophyton tonsurans = most common cause Kerion severe pustular eruption with alopecia advanced fungal disease with exaggerated host response large painful [rorymiller.github.io]

  Pain and difficulty with shoes can result from onychomycosis. Scarring is uncommon but more likely in people with pigmented skin. Scarring usually fades with time. Skin protection such as using a moisturiser cream and sunscreen can be helpful. [patient.info]

  Vesicular lesions: Small fluid-filled spots that can be just in one area or widespread Maculopapular or scarlatiniform eruptions: Red patches with raised red bumps Erythema nodosum: Deep, raised, bruise-like areas on the shins Sweet's syndrome: Fever and painful [verywellhealth.com]

• Nausea

  There may be systemic signs of infection such as fevers and nausea. In some patients, an extensive, itchy erythematous rash may appear – secondary to kerion. [dftbskindeep.com]

• Dermatitis

  Irritant contact dermatitis Allergic contact dermatitis Photoallergic contact dermatitis Phototoxic contact dermatitis inc phytophotodermatitis Eczematous PMLE Dermatophytide (Id reaction) Infectious eczema e.g. [brainscape.com]

  […] types of dermatitis. [verywellhealth.com]

  The rash is usually itchy like dermatitis, with bumps or blisters scattered on face, trunk and/or limbs. Fungus cannot be cultured from an ide. [dermnetnz.org]

  allergic contact dermatitis, acute irritant contact eczema and infective dermatitis have been documented as possible triggers, but the exact cause and mechanism is not fully understood.[7] Several other types of id reactions exist including erythema [en.wikipedia.org]

• Papule

  Physical examination revealed numerous erythematous papules coalescing into plaques on the bilateral anterior and posterior arms and legs, including some erythematous macules and papules on the palms and soles. [mdedge.com]

  Lesions are typically pruritic but may manifest as Vesicular eruptions on the hands and feet Follicular papules Erysipelas-like plaques Erythema annulare centrifugum Distribution may be extensive. [msdmanuals.com]

  Often intensely itchy, the red papules and pustules can also be associated with blisters and scales and are always remote from the primary lesion.[5] It is most commonly a blistering rash with itchy vesicles on the sides of fingers and feet as a reaction [en.wikipedia.org]

  […] infection usually on feet 4-5% of patients wiht tinea pedis two forms desquamation of skin of palms simply peels off with no sings of inflmaation or itch most common blistering reaction on soles or hands/both palamr and webspace skin may be covered with papules [rorymiller.github.io]

• Eczema

  Id reaction Other names Cutaneous autosensitization Specialty Dermatology Id reactions (also known as "disseminated eczema,"[1] and "generalized eczema"[1]) are types of acute dermatitis developing after days or weeks at skin locations distant from the [en.wikipedia.org]

  […] two forms desquamation of skin of palms simply peels off with no sings of inflmaation or itch most common blistering reaction on soles or hands/both palamr and webspace skin may be covered with papules/vesicles indistinguishable from constitutional eczema [rorymiller.github.io]

  Eczema and psoriasis are commonly confused with tinea. Pityriasis versicolor occurs all over the trunk while candida occurs as a flexural rash at extremes of age or in the immunocompromised, those with diabetes or patients on antibiotics. [patient.info]

  Skin problems that may appear similar to ID include: Cutaneous T-cell lymphoma Dermatitis herpetiformis Dyshidrotic eczema Eosinophilic pustular folliculitis Erysipelas (St. [verywellhealth.com]

• Blister

  The rash is usually itchy like dermatitis, with bumps or blisters scattered on face, trunk and/or limbs. Fungus cannot be cultured from an ide. [dermnetnz.org]

  Often intensely itchy, the red papules and pustules can also be associated with blisters and scales and are always remote from the primary lesion.[5] It is most commonly a blistering rash with itchy vesicles on the sides of fingers and feet as a reaction [en.wikipedia.org]

  Contact dermatitis causes an itchy, red rash—sometimes with bumps, blisters, or cracked skin—right where the contact occurred. [verywellhealth.com]

  […] cutaneous eryption representing allergic repsonse to distant focus of dermatophyte infection usually on feet 4-5% of patients wiht tinea pedis two forms desquamation of skin of palms simply peels off with no sings of inflmaation or itch most common blistering [rorymiller.github.io]

• Erythema Annulare

  Lesions are typically pruritic but may manifest as Vesicular eruptions on the hands and feet Follicular papules Erysipelas-like plaques Erythema annulare centrifugum Distribution may be extensive. [msdmanuals.com]

• Confusion

  Differential diagnosis[7] Other annular rashes are often confused with tinea infections. Eczema and psoriasis are commonly confused with tinea. [patient.info]

• Candida

  Pityriasis versicolor occurs all over the trunk while candida occurs as a flexural rash at extremes of age or in the immunocompromised, those with diabetes or patients on antibiotics. [patient.info]

  […] triggers, including: Athlete's foot (tinea pedis) Ringworm (tinea corporis or tinea capitis) Jock itch (tinea cruris) Tinea versicolor, an overgrowth of yeast common in subtropical regions Intertrigo, a yeast infection of skin folds caused by the fungi Candida [verywellhealth.com]

Treatment of the primary infection cures dermatophytid; pending cure, topical corticosteroids and/or antipruritics (eg, hydroxyzine 25 mg orally 4 times a day) can be used to relieve symptoms (see Table: Options for Treatment of Superficial Fungal Infections [msdmanuals.com]

The secondary lesions can be of various type, but mainly eczematous, papular and pustular (2); they may occur before starting therapy or immediately after starting treatment. [ejpd.com]

• Treatment is based on clearance of the original dermatophyte infection. [mdedge.com]

Prognosis Excellent with good compliance and subsequent precautions to avoid repeat infection. Prevention Good skin hygiene. Good nail hygiene. Avoiding prolonged wetting or dampness of the skin and feet. [patient.info]

If opportunistic bacterial infection occurs, antibiotics may be required.[2] Prognosis[edit] A full recovery is expected with treatment.[2] Recurrent id reactions are frequently due to inadequate treatment of the primary infection or dermatitis and often [en.wikipedia.org]

Changes in epidemiology, etiology, and clinical patterns of fungal infections due to M. canis are significant. Greater awareness of this problem is needed in order to establish proper diagnosis and successful treatment strategy for these patients. [hrcak.srce.hr]

"Cutaneous id reactions: a comprehensive review of clinical manifestations, epidemiology, etiology, and management". Critical Reviews in Microbiology. 38 (3): 191–202. doi:10.3109/1040841X.2011.645520. PMID 22300403. [en.wikipedia.org]

Cutaneous id reactions: a comprehensive review of clinical manifestations, epidemiology, etiology, and management. Crit Rev Microbiol. 2012;38(3):191–202. doi:10.3109/1040841X.2011.645520 Høgsberg T, Thomsen BM, Serup J. [verywellhealth.com]

Changes in epidemiology, etiology, and clinical patterns of fungal infections due to M. canis are significant. Greater awareness of this problem is needed in order to establish proper diagnosis and successful treatment strategy for these patients. [hrcak.srce.hr]

CONCLUSIONS: Changes in epidemiology and clinical pattern of fungal infections due to M. canis have become significant in the recent years. [bib.irb.hr]

"Cutaneous id reactions: a comprehensive review of clinical manifestations, epidemiology, etiology, and management". Critical Reviews in Microbiology. 38 (3): 191–202. doi:10.3109/1040841X.2011.645520. PMID 22300403. [en.wikipedia.org]

Epidemiology Infection is very common all over the world. Some types are more common than others, with tinea pedis being most common in adults and tinea capitis the most common in children. Onychomycosis is also extremely common. [patient.info]

Cutaneous id reactions: a comprehensive review of clinical manifestations, epidemiology, etiology, and management. Crit Rev Microbiol. 2012;38(3):191–202. doi:10.3109/1040841X.2011.645520 Høgsberg T, Thomsen BM, Serup J. [verywellhealth.com]

Pathophysiology[2, 3] Infection is limited to the dead layers of skin but encouraged by a damp and warm local environment. [patient.info]

Georg via the Centers for Disease Control and Prevention Public Health Image Library. [msdmanuals.com]

Systemic prednisolone, 10 mg/day for 7 days has been also administered in order to relive symptoms of “ide” reaction and to prevent scarring. After 12 weeks of therapy, complete clinical and mycological regression was observed. [bib.irb.hr]

Prevention Good skin hygiene. Good nail hygiene. Avoiding prolonged wetting or dampness of the skin and feet. Avoiding trainers, which can retain sweat and promote a warm, moist environment. Treatment of tinea pedis - helps prevent onychomycosis[6]. [patient.info]

Classification: Capitis; scalp corporis; trunk and extremeties manuum; palms,soles,interdigital webs cruris; groin barbae; beard faciei; face unguium(onychomycosis); nail Preventing dermatophytosis; non occlusive footwear and cotton socks uring antifungal [rorymiller.github.io]

In animal studies, it has both prevented and treated ID reactions. More work will need to be done before this treatment can be considered safe and effective in humans. [verywellhealth.com]