Fungal Infections Of Skin Flashcards
Cutaneous Candidiasis
- Topical : Nystatin Suspension
Clotrimazole
Gention Violet
Chlorhexidine
Ketoconazole
Amphotericin
Onychomycosis: effective and better tolerated
Itraconazole and Terbinafine (1st line; fewer drugs interactions)
Lotion or sprays than cream
Ringworm infectiom
griseofulvin
Onychomycosis as well as ringworm
Terbinafine
Non competitive inhibitor of squlene epoxide
Terbinafine
Tinea versicolor on wood lamp
Golden Yellow
Majochhi Granuloma
Causative agent: Trichophytonrubrum
Majocchi Granuloma
Deeper portion of hair follicles
Scaly follicular papules
Annular arrangement
Majocchi’s Disease
Purpura Annularistelangiectodes
Tinea Cruris ( Jock Itch)
Dermatophytic Infection
Tinea Cruris classic appearance
Erythematous scaly lesion
Clear centre
Well defined margins
Raised borders
Pityriasis Versicolor Treatment
Systemic agents : AZOLES
Topical: 1. AZOLES
2. Selenium Sulphide 2.5%- detergent base—- all over body, below neck-overnight; two to three applications
3. Whitefield’s ointment
4. Sodium Thiosulphate 20%
5. Zinc Pyrithone 1%
6. Tolnaftate
7. Ciclopiroxolamine
Candida Intertrigo Causative
Superficial skin fold infection
By CANDIDA ESP ALBICANS
Candida intertrigo appearance
Erythematous
Macerated plaques ( more than 1cm)
Peripheral scaling
Satellite papules or pustules
Erythema of Jacquet
Candida interpertigo —- persistent or long standing—- superficial painful erosions
Diascopy is done for ?
Vascular lesions
Wood’s Lamp screening for
Tinea Capitis
Tinea versicolor
Erythrasma
But not tinea corporis
Tinea Corporis classic appearance
Annular patch or plaque
Erythematous papulovesicles
Peripheral scaling
Central clearing
May confluence
Concentric rings maybe
Oral candidiasis
- Pseudomembranous
- Erythematous
- Hyperplastic
- Chronic muco cutaneous
Tinea Cruris Causation
Trichophyton Rubrum common in india
Epidermophyton Floccosum: common in western
Tinea Capititis treatment of choice
Griseofulvin
Tinea capitis causation
Most commonly by: Microsporum Canis > Trichophyton Tonsurans
Never by Epidermophyton
Kerion
Hypersensitivity rxn to infection with Microsporum Canis