Fungal/Viral Flashcards
Centrifugal spread with central clearing. Annular lesion. May have pustules in border.
Tinea corporis
Male with upper thigh involvement, pruritus and erythema that developed into erythematous plaque with scale and an advancing edge.
Tinea cruris
Eczematous eruption between the 3rd and 4th toe (or 4th and 5th toe).
Tinea pedis - interdigital type
What are the 4 types of tinea pedis?
- Ulcerative
- Interdigital
- Moccasin
- Inflammatory (vesicular)
Lateral onychomycosis
- A white/yellow opaque streak at one side of the nail
Subungual hyperkeratosis
- Scaling occurs under the nail
Distal onycholysis
- End of nail lifts, free edge often crumbles
Superficial white onychomycosis
- Flaky white patches and pits on top of nail plate
Proximal Onychomycosis
- Yellow spots appear in the half-moon (lunula)
Onychoma or dermatophytoma
- thick localized area of infection in the nail plate
FAVUS
Yellow crusts and matted hair - tinea capitis
MAJOCCHI’S GRANULOMA
- Irregular red, scaly plaque, follicular papules, pustules and nodules
- Fungal infection often elsewhere (e.g. tinea pedis)
- 2 forms
- Perifollicular papular (healthy individuals)
- localized dermal infection
- Deep subcutaneous plaque or nodular (immunosuppressed)
- Perifollicular papular (healthy individuals)
What is the most likely etiology of a mould infection?
Scopulariopsis brevicaulis
List 4 types of investigations that can be used to diagnose cutaneous fungal infections.
- Clinical
- Wood’s lamp - yellow-green fluorescence if microsporum canis
- Dermatoscopy
- Microscopy and culture of skin scrapings
- Histopathology of skin or nail biopsy using PAS (periodic acid-Schiff) stain
Which agents can be used for superficial dermatophyte infections?
- Terbinafine - PO/topical
- Itraconazole - PO/topical
- Griseofulvin - PO
- Ketaconazole - topical