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RingwormB35.2

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

dermatomycosis of the hands; Epidermophytia manus; Hand mycosis; Mycosis of the hands; ringworm

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DefinitionThis section has been translated automatically.

Usually at first unilateral, later bilateral localized tinea of the hands.

PathogenThis section has been translated automatically.

Mainly Trichophyton rubrum (approx. 80%), Trichophyton mentagrophytes (approx. 10%), also Epidermophyton floccosum (approx. 4%); more rarely zoophilic (e.g. Microsporum canis) or geophilic fungi ( Microsporum gypseum).

EtiopathogenesisThis section has been translated automatically.

Mostly autoinoculation with simultaneous presence of tinea pedum and tinea unguium.

ManifestationThis section has been translated automatically.

Mostly occurring in adults.

LocalizationThis section has been translated automatically.

One-sided, asymmetrical. Only after a longer period of use does it spill over to the other hand.

Clinical featuresThis section has been translated automatically.

Back of hands and fingers: According to the tinea corporis. Interdigital: Tinea pedum, intertriginous type.

Palmae:

  • Tinea manuum, dyshidrosiform type (itchy, sagocorn like vesicles in the palms)
  • respectively
  • Tinea manuum, hyperkeratotic-rhagadiform type (firmly adhering scaling and painful rhagades).

A special form is the one-hand/two feet mycosis, which always affects both soles of the feet and the palm of one hand.

DiagnosisThis section has been translated automatically.

Fungal detection in native preparation and culture. S.a.u. Mycoses.

Differential diagnosisThis section has been translated automatically.

Atopic hand eczema; dyshidrosis; psoriasis; candidiasis; allergic contact dermatitis.

TherapyThis section has been translated automatically.

External and possibly internal antimycotic therapy. S.u. Tinea.

Note(s)This section has been translated automatically.

It is not uncommon for a Tinea manuum (especially in immunosuppression) to be accompanied by a Tinea barbae, or the Tinea barbae indicates the Tinea manuum.

LiteratureThis section has been translated automatically.

  1. Seebacher C et al (2007) Onychomycosis. J Dtsch Dermatol Ges 5: 61-66
  2. Seebacher C et al (2005) Tinea of the free skin. J Dtsch Dermatol Ges 11: 921-926

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer