Tinea manuum

Tinea manuum Infection of the interdigital and palmar surfaces Presents as white scales in palmar folds may also develop scales on remainder of palm may present as singular plaque More commonly affecting only one hand Presents with hyperkeratotic skin... 

Drake LA, Dinehart SM, Farmer ER, Goltz RW, Graham GF, Hordinsky MK, Lewis CW, Pariser DM, Skouge JW, Webster SB, Whitaker DC, Butler B, Lowery BJ Guidelines of care for superficial mycotic infections of the skin Tinea corporis, tinea cruris, tinea faciei, tinea manuum, and tinea pedis. J Am Acad Dermatol 1996 34 282-286. 

Schuller J, Remme JJ, Rampen FH, Van Neer FC. Itraconazole in the treatment of tinea pedis and tinea manuum comparison of two treatment schedules. Mycoses 1998 41(ll-12) 515-20. 

Tinea manuum usually involves the palmar surface of the hands, is unilateral, and may involve the feet. Treatment of this infection is similar to tinea pedis (see Table 118-8). Emollients that contain lactic acid also may be useful." ... 

Tinea corporis is an infection the glabrous skin of the trunk and extremities." Therapy is similar to that for tinea pedis, tinea manuum, and tinea cruris (see Table 118-8). 

Tinea manuum Ciclopirox, twice daily Ketoconazole 200 mg daily x 4 wks... 

Tinea cruris—Fungal infection of the proximal thighs and buttocks. Tinea manuum— Fungal infection of thepalmar surface of the hands. Tinea pedis—Fungal infection of the feet. 

It is used principally in the treatment of tinea pedis, tinea cruris, tinea corporis, tinea manuum, and tinea versicolor. Haloprogin s mechanisms of action in yeast cells are thought to be inhibition of respiration and disruption of yeast cell membranes. Its mechanism of action in dermatophytes is unknown. 

Tinea pedis, tinea cruris, and other skin infections caused by ringworm Tinea pedis, tinea cruris, tinea corporis, cutaneous candidiasis, tinea versicolor External treatment of abrasions, minor cuts, surface injuries, superficial fungus, infedions of the skin Tinea pedis, tinea cruris, tinea corporis, tinea manuum... 

Infections of the dorsal aspect of the hands resemble ringworm of the glabrous skin. Ringworm of the palmar skin (palm and palmar aspect of the fingers) presents a particular clinical picture. There is dusty desquamation on an erythematous background, with pearl white accentuation of the palmar flexor folds. The appearance is very similar to that of some cases of hyperkeratotic palmar eczema but, in tinea manuum. 

Dermatophyte onychomycosis is a frequently occurring condition which may be isolated or associated with tinea pedis and/or tinea manuum. The role of occupational activities is therefore similar to that in tinea pedis. It affects one or more toenails it is less common on the hands. The infection begins at the distal extremity of the nail bed or nail fold. Onychomycosis may have different clinical characteristics in some cases, leukonychia affecting part of the distal nail extremity but also extending along a nail fold towards the cuticle is the major symptom. Full thickness, including the superficial plate, accounts for the pearly mat appearance of the infected area. In other cases, massive destruction of the nail does occur, spicules of which are detached all along the free border (Fig. 11). 

Each type of dermatomycosis requires an adapted schedule of administration. Itraconazole and terbina-fine have been more extensively studied for these indications than fluconazole. In tinea corporis and tinea cruris, the scheme of treatment is terbinafine 250 mg/day for 2 weeks, itraconazole 100 mg/day for 2 weeks and fluconazole 150 mg/once weekly or 50 mg/ day for 2-4 weeks. Tinea manuum and tinea pedis require a longer period of treatment terbinafine 250 mg/day for 4 weeks, itraconazole 100 mg/day for 4 weeks and fluconazole 150 mg/once weekly or 50 mg/day for 4 weeks. 

Tinea manuum Tinea cruris Tinea sycosis Tinea capitis Tinea unguium... 

Scytalidium Species. Scytalidium dimidiatum (formerly Hendersonula toruloidea) and its nonpigmented variant, Scytalidium hyalinum, found in the tropics, the USA and the Mediterranean (although a recently published article [31] states that Scytalidium spp. have never been isolated in Italy) are very common in endemic areas, but may be acquired by tourists as well. Clinically, they lead to a scaly tinea pedis et manuum, sometimes including nails starting... 

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