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Tinea manus
Fungal infection of the hands.
Etiology:
1) Trichophyton mentagrophytes
2) Trichophyton rubrum
3) Epidermophyton floccosum
Clinical manifestations:
1) scaly palms
2) occasionally on dorsal surface
3) often unilateral
4) episodic pruritus
5) pain if secondarily infected or fissured
6) most common on dominant hand in conjunction with bilateral Tinea pedis (1 hand, 2 feet) [4]
* images [3]
Management:
1) topical agents
a) see Tinea
b) failure common
2) systemic agents
a) terbinafine 250 mg/day for 14 days
b) itraconazole 200 mg PO QD for 7 days
c) griseofulvin 500 mg QD (micronized) for 21 days
General
Tinea
References
- Saunders Manual of Medical Practice, Rakel (ed), WB Saunders,
Philadelphia, 1996
- Color Atlas & Synopsis of Clinical Dermatology, Common
& Serious Diseases, 3rd ed, Fitzpatrick et al, McGraw Hill, NY,
1997, pg 696-697
- DermNet NZ: Tinea manuum (images)
http://dermnetnz.org/fungal/tinea-manuum.html
- Erwin BL, Styke LT
Fungus of the Feet and Nails
http://www.medscape.com/viewarticle/807034_4