10
November
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:
- Medical Progress Journal, February 2008.
- Harrison?s Manual of medicine. 16th edition.2005.
Tags: antifungal agent, dermatophyte infection, fungal infection, health, potassium hydroxide preparation, ringworm, skin, skin biopsy, skin scrapings, tinea corporis


December 15th, 2008 at 6:35 am
disability for gout related arthritis…
I personally agree with your comments, but there will always be some people who may not feel the same….
December 21st, 2008 at 6:36 am
You are definitely right. All I can say, in medicine, not everything is black and white, some of them is grey in colour..
December 26th, 2008 at 2:40 am
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….
January 1st, 2009 at 3:09 pm
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?