Ringworm Flashcards

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1
Q

Ringworm

A

Gungal infection of the skin

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2
Q

What is ringworm also known as

A

Tinea and dermatophytosis

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3
Q

Tinea capitis

A

Ringworm affecting the scalp

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4
Q

Tinea pedis

A

Ringworm affecting the feet, also known as athletes foot (pedis mea

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5
Q

Tinea cruris

A

Ringworm of the groin

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6
Q

Tinea corporis

A

Ringworm on the body

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7
Q

Onychomycosis

A

Fungal nail infection

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8
Q

Most common type of fungus that causes ringworm

A

Trichophyton

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9
Q

How is trichophyton spread

A

Through contact with infected individuals, animals or soil.

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10
Q

Presentation of ringworm

A

Itchy rash that is erythematous, scaly and well demarcated.

Often one/ several rings that spread outwards, with a well demarcated edge.

The edge is more prominent and red and the area in the centre is more faint in colour

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11
Q

Associated signs of tinea capitis

A

Well demarcated hair loss

Itching, dryness and erythema of the scalp

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12
Q

Management of ringworm

A

Anti-fungal creams - clotrimazole and miconazole

Anti-fungal shampoo -ketoconazole for tinea capitis

Oral anti-fungal medications such as fluconazole, griseofulvin and itraconazole

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13
Q

How to diagnose ring worm

A

Clinical

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14
Q

How to diagnose onychomycosis

A

Clinical

Take scrapings for microscopy and culture

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15
Q

Treatment for fungal nail infections

A

Amorolfine nail lacquer for 6 – 12 months

If resistant: oral terbinafine

Mild topical steroid - settle the inflammation and itching

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16
Q

Precautions for terbinafine

A

LFTs monitoring before and whilst taking

17
Q

Daktacort

A

Miconazole 2% and hydrocortisone 1% cream

18
Q

Advice for ringworm

A

Wear loose breathable clothing

Keep the affected area clean and dry

Avoid sharing towels, clothes and bedding

Use a separate towel for the feet with tinea pedis

Avoid scratching and spreading to other areas

Wear clean dry socks every day

19
Q

Tinea Incognito

A

Results from the use of steroids

Steroid improves the itching and inflammation but accelerates the growth of the fungal infection by dampening the immune response in the local area

20
Q

Pityriasis versicolor

A

(Tinea versicolour)

Lighter patches