Mykid L30.21

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 28.12.2022

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Synonym(s)

Dermatophytide; lichen trichophyticus; Mycid:; Trichophytide

Definition
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Acute, hyperergic hematogenous scatter reaction(Id reaction) in mycoses with the formation of symmetrical, maculo-papular, also dyshidrotic eruptions on hands and feet; also nodular and multiforme, more rarely pustular efflorescences, especially on the extremities and/or trunk. See also Id reaction, epidermophytid, trichophytid (Gorgievska-Sukarovska B et al. 2017).

Etiopathogenesis
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Th1-mediated immune reaction, which can occur as a "remote reaction" to a (usually pronounced and longstanding) mycosis.

Mycides may also develop, for example, during systemic therapy of tinea corporis (DD. drug lexanthem).

In addition to maculo-papular and dyshidrotic lesions on hands and feet, generalized small-papular, follicular exanthema (lichen trichophyticus) may also develop (Mayser P 2017).

Therapy
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Local anti-inflammatory therapy (mild glucocorticoid creams); oral therapy with glucocorticoids may be considered if clinical symptoms are pronounced. It is important to continue the consistent treatment of the underlying mycotic disease.

Literature
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  1. Gorgievska-Sukarovska B et al (2017) Kerion Celsi due to Microsporum canis with a Dermatophytid Reaction. Acta Dermatovenerol Croat 25:151-154.
  2. Mayser P (2017) Dermatophyte: Current situation. Dermatologist 68:316-323.

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 28.12.2022