Fungal skin infection – Tinea Corporis or ringworm

 

Tinea corporis is another type of dermatophyte infection. It is a fungal skin infection that occurs most often at the torso. Surprisingly, it commonly affects the elderly.

Diagnosis:

  • Microscopy (20% potassium hydroxide added to skin scrapings to dissolve keratin; hyphae can be observed in the preparation)
  • Samples for culture – skin scrapings taken from skin lesions. (Final result of culture may take 6 weeks)
  • Skin biopsy

Manifestation:

  • Commonly appears an annular plaque with a rim of scaly erythema ( an erythematous papulosquamous patch ? often with central clearing and scale along peripheral advancing border)
  • Occasionally presented with polycyclic annuli with mummular plaques (mimic mummular dermatitis)

Management:

  • Topical antifungal agent – imidazoles, triazoles, allylamines (most effective treatment)
  • Haloprogin, undecylenic acid, ciclopiroxolamine and tolnaftate
  • It can be aided with keratolytic agent such as lactic acid 12% cream.
  • Oral Griseofulvin 500mg per day ? if systemic therapy required.

Reference:

  1. Medical Progress Journal, February 2008.
  2. Harrison?s Manual of medicine. 16th edition.2005.
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7 Responses to “Fungal skin infection – Tinea Corporis or ringworm”

  1. Jessie Says:

    disability for gout related arthritis…

    I personally agree with your comments, but there will always be some people who may not feel the same….

  2. Dr.Irham Says:

    You are definitely right. All I can say, in medicine, not everything is black and white, some of them is grey in colour..

  3. Jessie Says:

    gouty arthritis…

    I cannot agree on everything you say in this article, but perhaps I missed some of the points you were trying to make….

  4. acai berry trail Says:

    I am looking for some tips to avoid it in the initial stage. How can it be avoided doctors? Also, can the marks be removed completely by treatment?

  5. Jessie Says:

    gouty arthritis…

    After reading your article I am left with the feeling that there is more to this topic than I originally thought….

  6. Alice Nanney@adult diapers Says:

    Interesting, I want to know more about why it occurs more in the elderly. Another informative article, thank you.

  7. master@Herbal Vaporizer Says:

    This is a very nice read.

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