Sup-T nigra Flashcards

1
Q

Etio

A

Hortaea werneckii.

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2
Q

presentation

A

one or several brown or blacj spots on palms and soles. confined to st corneum and scrapes off easily.

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3
Q

used to diff from melanocytic tumors

A

Dermoscopy

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4
Q

fungus demonstrated by

A

KOH. or culture.

KOH- Hyphae are brown or golden in color. pogment prod by fungal hyphae is melanin.

culture. pcr.

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5
Q

tx

A

Topical imidazole and allylamines.
such as clotrimazole, miconazole, ketoconazole, sulconazole, econazole, terbinafine.
griseofulvin not effective.
simply shaving away sup epidermis w blade is both diagnostic and curative of tinea nigra.

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