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Tinea Manuum


Presentation

  • Features of MyAccess include: Remote Access Favorites Save figures into PowerPoint Download tables as PDFs Go to My Dashboard Close Most often present with asymptomatic scaling May progress to fissuring or maceration in toe web spaces Common cofactor[accessmedicine.mhmedical.com]
  • The presentation of tinea manuum is similar to that of tinea corporis. Both conditions typically arise as a flat, scaly lesion that eventually manifests a raised, rounded border.[consultant360.com]
  • Beispielsätze mit "tinea manuum", Translation Memory add example en In this article, four clinical cases are presented, whereby attention is given to special clinical situations and therapeutic aspects with regard to Trichophyton species of A. benhamiae[de.glosbe.com]
  • Tinea pedis in children presentating as unilateral inflammatory lesions of the sole. Pediatr Dermatol, 16 (1999), pp. 2555-2558 [4.] W. Meinhoff. Differential diagnosis of tinea manus and tinea pedis.[analesdepediatria.org]
  • Fig.1 Presentations of Tinea Manuum. Symptoms and Signs Typical presentations of tinea manuum are a diffuse white scaling/hyperkeratosis with or without mild itching, unilateral diffuse hyperkeratosis with accentuation of the flexural creases.[creative-biolabs.com]
Anemia
  • […] affected area of the skin Insomnia Red ( erythematous ) patches scattered over the skin of the trunk and the extremities Tumor-like lobulated outgrowths form on the skin in the latter phase of the disease Weight loss Lymphadenopathy Malaise and fatigue Anemia[wikidoc.org]
Lymphadenopathy
  • […] itching ( pruritus ) Pain in the affected area of the skin Insomnia Red ( erythematous ) patches scattered over the skin of the trunk and the extremities Tumor-like lobulated outgrowths form on the skin in the latter phase of the disease Weight loss Lymphadenopathy[wikidoc.org]
Sore Throat
  • throat Gastrointestinal disturbance Fever Arthralgia Infection by any of the following: [4] HHV-6 HHV-7 HHV-8 Pityriasis lichenoides chronica Recurrent lesions are usually less evenly scattered than in cases of psoriasis Brownish red or orange-brown[wikidoc.org]
Chronic Cough
  • […] be sore Pruritus Musty odor Associated with: Infections (Fungal, bacterial, viral) Allergies Diabetes Obesity Langerhans cell histiocytosis [21] Scaling and crusting of scalp Pathological fractures [22] Visceromegaly ( hepatomegaly, spleenomegaly ) Chronic[wikidoc.org]
Hepatomegaly
  • […] skin folds Itching Oozing May be sore Pruritus Musty odor Associated with: Infections (Fungal, bacterial, viral) Allergies Diabetes Obesity Langerhans cell histiocytosis [21] Scaling and crusting of scalp Pathological fractures [22] Visceromegaly ( hepatomegaly[wikidoc.org]
Excoriation
  • Tinea manuum usually develops in the hand used to excoriate the affected feet or pick the toenails Download Figure: 14 Tinea unguium and recurrent cellulitis (resolving) This patient had developed recurrent episodes of cellulitis with unilateral, ascending[pcds.org.uk]
Insect Bite
  • (HIV) Nummular dermatitis [6] Multiple coin-shaped eczematous lesions Commonly affecting the extremities (lower upper) and trunk May ooze fluid and become dry and crusty Often appears after a skin injury, such as a burn, abrasion (from friction), or insect[wikidoc.org]
Nummular Dermatitis
  • dermatitis [6] Multiple coin-shaped eczematous lesions Commonly affecting the extremities (lower upper) and trunk May ooze fluid and become dry and crusty Often appears after a skin injury, such as a burn, abrasion (from friction), or insect bite Lesions[wikidoc.org]
Fracture
  • Red and fleshy looking lesion in skin folds Itching Oozing May be sore Pruritus Musty odor Associated with: Infections (Fungal, bacterial, viral) Allergies Diabetes Obesity Langerhans cell histiocytosis [21] Scaling and crusting of scalp Pathological fractures[wikidoc.org]
Myalgia
  • […] lichenoides chronica Recurrent lesions are usually less evenly scattered than in cases of psoriasis Brownish red or orange-brown in color Lesions are capped by a single detachable, opaque, mica-like scale Often leave hypopigmented macules High fever Malaise Myalgias[wikidoc.org]
Arthralgia
  • […] extremities Squamous marginal collarette and a “fir-tree” or “Christmas tree” distribution on posterior trunk Secondary to viral infection s Resolves spontaneously after 6-8 weeks Preceded by a prodrome of: Sore throat Gastrointestinal disturbance Fever Arthralgia[wikidoc.org]
Insomnia
  • Epidermal atrophy or poikiloderma Generalized itching ( pruritus ) Pain in the affected area of the skin Insomnia Red ( erythematous ) patches scattered over the skin of the trunk and the extremities Tumor-like lobulated outgrowths form on the skin in[wikidoc.org]

Workup

Toxoplasma Gondii
  • gondii Human immunodeficiency virus (HIV) Nummular dermatitis [6] Multiple coin-shaped eczematous lesions Commonly affecting the extremities (lower upper) and trunk May ooze fluid and become dry and crusty Often appears after a skin injury, such as a[wikidoc.org]
Visceromegaly
  • […] looking lesion in skin folds Itching Oozing May be sore Pruritus Musty odor Associated with: Infections (Fungal, bacterial, viral) Allergies Diabetes Obesity Langerhans cell histiocytosis [21] Scaling and crusting of scalp Pathological fractures [22] Visceromegaly[wikidoc.org]

Treatment

  • Nails should be filed / cut back as much as possible prior to applying the treatment Systemic treatment in adults Terbinafine (Lamisil ) is the most effective treatment (with eradication rates of 69% against 48% for itraconazole), except in cases of Microsporum[pcds.org.uk]
  • Terrasil Anti-Fungal Treatment MAX: A Uniquely Effective Natural Formulation Terrasil Anti-Fungal Treatment MAX is a unique all-in-one skin recovery system in a tube.[aidanceproducts.com]
  • A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions.[pennstatehershey.adam.com]
  • Treatment Treatment with topical antifungal agents would be better when infection is mild, and the available antifungal medications include: Imidazole creams (clotrimazole, miconazole, econazole, ketoconazole, luliconazole, sertaconazole, sulconazole)[creative-biolabs.com]
  • It is somewhat difficult to know when a patient may no longer spread infection after treatment is initiated.[jamanetwork.com]

Prognosis

  • Outlook and prognosis Excellent outlook. Fingernail involvement should also be sought and treated. Tinea manuum caused by T. rubrum. Take action today Educate Recognise & treat fungal infections: See opportunities for learning.[life-worldwide.org]
  • Preventive and treatment strategies, which are the same as for tinea pedis, are summarized in TABLES 1 and 2. 25 Superficial fungal infections of the hands and feet are manageable conditions with a favorable prognosis when treated appropriately.[uspharmacist.com]

Epidemiology

  • Epidemiology of dermatophytoses in Children living in Northeast France: A 5-year study. Pediatric Dermatology, 19 (2002), pp. 103-105 [10.] M.G. Rinaldi. Dermatophytosis: Epidemiological and microbiological update.[analesdepediatria.org]
  • Email: stefano.veraldi@unimi.it Search for more papers by this author First published: 31 March 2019 Summary Objective Tinea manuum is considered in Italy as an uncommon infection, although no recent epidemiological data are available.[onlinelibrary.wiley.com]
  • Havlickova B, Czaika, VA, Friedrich, M. " Epidemiological Trends in Skin Mycoses Worldwide. " Mycoses . 2008 Sep;51 Suppl 4:2-15. DOI: 10.1111/j.1439-0507.2008.01606.x. Mounsey, AL and Reed, SW. "Diagnosing and Treating Hair Loss."[verywellhealth.com]
  • Introduction Epidemiology Superficial fungal infections of the skin, nails, and hair are extremely common. The dermatophyte species are found in the environment, as well as on animals and humans.[derm101.com]
  • Epidemiological trends in skin mycoses worldwide. Mycoses. 2008;51(suppl 4):2-15. 2. Newton GD, Popovich NG. Fungal skin infections. In: Krinsky DL, Berardi RR, Ferreri SP, et al, eds.[uspharmacist.com]
Sex distribution
Age distribution

Pathophysiology

  • ORIGINAL ARTICLE Corresponding Author E-mail address: stefano.veraldi@unimi.it Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Foundation IRCCS, Cà Granda Ospedale Maggiore Policlinico, Milan, Italy Correspondence[onlinelibrary.wiley.com]
  • Pathophysiology Dermatophytes primarily infect the keratinized outermost layer of the epidermis, as well as the nails and hair. They secrete keratinases that allow them to invade these tissues and provoke an inflammatory response in the host.[derm101.com]
  • Pathophysiology Numerous types of fungi live on and in our bodies without causing harm; they are held in check by competing bacteria and our immune system. Disease-causing fungi can be divided into two groups: filamentous fungi and yeasts.[wildmedcenter.com]
  • Pharmacotherapy: A Pathophysiologic Approach. 7th ed. New York, NY: McGraw-Hill Medical; 2008:1957-1972. 14. Ghannoum MA, Hajjeh RA, Scher R, et al.[uspharmacist.com]

Prevention

  • Diagnosis and Prevention As similar to hand dermatitis, tinea manuum is frequently misdiagnosed. Therefore, confirmation by both microscopy and culture of skin scrapings, or KOH preparation are necessary for the diagnosis of tinea manuum.[creative-biolabs.com]
  • Adhesive tape (eg sellotape) stripping can be useful if scale is limited The nails Infection should be confirmed prior to treatment In order to prevent high rates of false negative results it is important to the cut the nail back and remove the subungual[pcds.org.uk]
  • To prevent tinea manuum, keep your hands clean and dry, especially if you wear gloves regularly. Avoid contact with those who have an active case of tinea on any part of their body.[healthline.com]
  • Prevention and outlook There are some precautions people can take to try to avoid their hands becoming infected with fungus.[medicalnewstoday.com]
  • Although antifungal creams and solutions are better treatment options since they are rubbed directly into the skin, sprays and powders may be better formulations for prevention. 2 Preventive Strategies Preventive strategies may prove beneficial, especially[uspharmacist.com]

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