Fungal Skin Disease (Tinea, Dermatophytosis): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate tinea (dermatophytosis/dermatomycosis):

Initially, tinea may cause circumscribed redness that lightens centrally and spreads centrifugally as the disease progresses.

Leading symptoms of tinea capitis (“head fungus”).

  • Redness, massive scaling (pityriasiform scaling: fine, small-shaped scales; head scales).
  • Painful, weeping, purulent and furuncle-like skin area.
  • Alopecia (hair loss): usually not permanent; only rarely permanent hair loss in tinea capitis profunda.

Note: The clinical picture of tinea capitis can vary greatly – it depends on the type of pathogen and the immunity situation of the patient.

A contagious special form of tinea capitis is the microsporiasis. It can spread from the head to the whole body.

Leading symptoms of tinea corporis et faciei (“body and facial fungus”).

  • Initially circumscribed folliculitis (inflammation of hair follicles) with redness, minor scaling, extending centrifugally.
  • Slightly raised edges

Leading symptoms of tinea manuum (“hand fungus”).

  • Dyshidrosiform form – itchy vesicles, especially on the palm of the hand.
  • Hyperkeratotic-squamous form – vesicles that dry up and then become scaly foci, rhagades, especially on the palm of the hand; painful

Tinea manuum is often localized on one side.

Leading symptoms of tinea inguinalis (“groin fungus”).

  • Red spots on the inner thigh, unilateral or bilateral, peripheral inflammatory scaling rim.
  • Genitals / buttocks may be affected with
  • Burning of the affected skin areas

Leading symptoms of tinea pedis (“athlete’s foot“).

  • Interdigital form – toe interdigits with softened skin, redness, scaling to rhagades.
  • Squamous-hyperkeratotic form (moccasin mycosis) – fine dry scaling localized on inflamed skin on the soles of the feet; up to rhagades.
  • Vesicular-dyshidrotic form – vesicles in the area of the arch of the foot, feeling of tension, itching.

Other indications

  • In the genitoanal area, dermatophytes (filamentous fungi) most commonly affect the inguinal and gluteal region (groin and buttock region).
  • If the mucous membranes (mouth, esophagus) are affected, it is usually candida yeast (candidiasis, candidiasis).
  • From the tinea capitis (head fungus) are mostly children affected.