Presentation
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]
Immune System
- Cervical Lymphadenopathy
In addition, papular exanthema of the trunk and bilateral cervical lymphadenopathy were present. The patient was in a good condition, and routine investigations were all within the normal limits. [bib.irb.hr]
Skin
- 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]
- 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. [merckmanuals.com]
- Pruritic Rash
References To the Editor: A 17-year-old adolescent girl presented to the dermatology clinic with a tender pruritic rash on the left wrist that was spreading to the bilateral arms and legs of several years’ duration. [mdedge.com]
Treatment
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 [merckmanuals.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
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]
Etiology
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]
Epidemiology
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
Pathophysiology[2, 3] Infection is limited to the dead layers of skin but encouraged by a damp and warm local environment. [patient.info]
Prevention
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]