fungal skin infections

Question 1

what are the features in the history of fungal skin infection?

Answer 1

history of scaly, itchy skin in affected areas

may be erythematous, flat or slightly raised annular patches of varying sizes

Question 2

management?

Answer 2

advise on self care management strategies (Wear loose fitting clothes and good hygiene)

topical antifungal cream e.g miconazole

corticosteroid cream

if extensive/ severe in adult, can consider oral antifungal e.g terbinafine

Question 3

what is onychomycosis?

Answer 3

fungal infections of the nail

due to dermatophytes yeast or mould

Question 4

clinical features of onychomycosis?

Answer 4

scalling under neath

white/yellow streaks on nail

pitting/flaky white patches

yellow spots

flaking of nail

destruction of nail

Question 5

how are nail infections treated?

Answer 5

asymptomatic = no treatment needed

diagnois should be confirmed by microbiology before treatment

dermatophyte infection = oral terbinafine

candida - anti fungals e.g amorolfine

if topical treatment is given, continue for 6 months for fingernails and 9-12 months for toenails