Fungal Skin Disease (Tinea, Dermatophytosis): Test and Diagnosis

2nd order laboratory parameters – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Mycological examination (microscopic u. If necessary, cultural) of material from the margins of scaling foci, skin scrapings, nail material, etc. using sterile instruments (scalpel, sharp spoon, scissors, tweezers). Histological examination – useful … Fungal Skin Disease (Tinea, Dermatophytosis): Test and Diagnosis

Fungal Skin Disease (Tinea, Dermatophytosis): Drug Therapy

Therapeutic target Elimination of the pathogens Therapy recommendations Local therapy with antifungals (antifungal agents; azoles: ketoconazole; hydroxpyridone derivatives: ciclopiroxolamine) for localized, uncomplicated tinea corporisNote: Topical therapy alone (local therapy) of tinea capitis is not sufficient! Tinea capitis: combination of local therapy and systemic therapy: Local therapy: shampoos containing selenium (di)sulfide (1%), ciclopirox (1%), clotrimazole (2%), … Fungal Skin Disease (Tinea, Dermatophytosis): Drug Therapy

Fungal Skin Disease (Tinea, Dermatophytosis): Medical History

The anamnesis (medical history) represents an important component in the diagnosis of tinea (dermatophytosis/dermatomycosis). Family history What is the general health of your relatives? Social history What is your profession? Are you exposed to harmful working substances in your profession? Current medical history/systemic medical history (somatic and psychological complaints). What symptoms have you noticed? How … Fungal Skin Disease (Tinea, Dermatophytosis): Medical History

Fungal Skin Disease (Tinea, Dermatophytosis): Or something else? Differential Diagnosis

Skin and subcutaneous (L00-L99). Allergic contact dermatitis Atopic eczema (neurodermatitis) Candidosis intertriginosa – fungal skin disease that occurs in areas of the body where skin is against skin, such as in the armpits, groin, etc. Chronic discoid lupus erythematosus (group of autoimmune disease in which there is formation of autoantibodies; it belongs to the collagenoses) … Fungal Skin Disease (Tinea, Dermatophytosis): Or something else? Differential Diagnosis

Fungal Skin Disease (Tinea, Dermatophytosis): Prevention

To prevent tinea (dermatophytosis/dermatophyte skin disease), attention must be paid to reducing risk factors. Behavioral risk factors Use of common facilities such as showers, bathrooms. Athletes Wg. high exposure for dermatophyte-related mycoses (e.g., swimming and mat athletes). Anthropophilic Trichophyton ( T.) tonsurans (“Tinea gladiatorum”) in contact sports. Disease-related risk factors. Musculoskeletal system and connective tissue … Fungal Skin Disease (Tinea, Dermatophytosis): Prevention

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

Fungal Skin Disease (Tinea, Dermatophytosis): Causes

Pathogenesis (development of disease) Pathogenic fungi can be divided into dermatophytes (filamentous fungi), shoot fungi (yeasts), and molds. Classification of fungi Skin fungi Dermatophytes Sprout fungi (yeasts) Candida, Cryptococcus Molds Alternaria, Aspergillus (aspergillosis), Mucorales, Mucor, Rhizomucor, Rhizopus, Infections with dermatophytes – Trichophyton, Microsporum, Nannizzia, and Epidermophyton – can result in various skin and nail lesions … Fungal Skin Disease (Tinea, Dermatophytosis): Causes

Fungal Skin Disease (Tinea, Dermatophytosis): Therapy

General measures Observance of the general hygiene measures! Advice on footwear: Avoid tight, closed shoes and rubber boots. Avoiding heat accumulation with high humidity in the shoes, especially in sports shoes made of synthetic material. Nicotine restriction (refrain from tobacco use). Alcohol restriction (abstaining from alcohol) Review of permanent medication due topossible effect on the … Fungal Skin Disease (Tinea, Dermatophytosis): Therapy