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Tinea Corporis

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61. Fungal skin infection - body and groin : When should I suspect fungal infection of the body and groin?

, numerous overlapping concentric circles (tinea imbricate) or herpetiform subcorneal vesicles or pustules (bullous tinea corporis). On examination of the groin(s) there may be: Involvement most commonly affecting the inguinal folds and proximal medial thighs. The perianal skin, buttocks, and above the waistline may also be affected. In men, the penis and scrotum are often spared. Skin lesions which are commonly red to red-brown, flat or slightly raised plaques with active borders (may be pustules

2018 NICE Clinical Knowledge Summaries

62. Fungal skin infection - body and groin : Scenario: Management of fungal skin infection - body and groin

to arrange for if there is an inadequate response to initial treatment. Basis for recommendation The recommendations on the initial management of suspected fungal infection of the body and groin are largely based on the Public Health England (PHE) publications Fungal skin and nail infections: Diagnosis and laboratory investigation [ ] and Health protection in schools and other childcare facilities [ ], a Cochrane systematic review Topical antifungal treatments for tinea cruris and tinea corporis (Review (...) corticosteroid monotherapy is based on expert opinion in review articles. Topical corticosteroid use may cause the development of tinea incognito, where there is alteration of the morphology of fungal infection lesions, with flattening of the edge and loss of surface scale, which then makes clinical diagnosis more difficult [ ; ]. Furthermore, topical corticosteroid monotherapy does not eliminate fungus from the skin surface. As a result, fungal lesions may spread and proliferate, and there may be treatment

2018 NICE Clinical Knowledge Summaries

63. Fungal skin infection - body and groin

Fungal skin infection - body and groin Fungal skin infection - body and groin | Topics A to Z | CKS | NICE Search CKS… Menu Fungal skin infection - body and groin Fungal skin infection - body and groin Last revised in May 2018 Fungal infection of the skin (also known as ringworm or tinea) is caused by dermatophytes. Diagnosis Management Prescribing information Background information Fungal skin infection - body and groin: Summary Fungal infections of the body and groin are also known as 'tinea (...) corporis', and 'tinea cruris' respectively, and describe superficial skin infections predominantly caused by dermatophytes such as Trichophyton rubrum. Fungal groin infection is usually caused by autoinoculation from infection of the hands, feet, or nails. Risk factors for developing infection include hot humid environments; wearing tight-fitting clothing; obesity; and hyperhidrosis. The diagnosis of suspected fungal infection of the body and groin should be made on the basis of clinical features

2018 NICE Clinical Knowledge Summaries

64. Corticosteroids - topical (skin), nose, and eyes: Scenario: Topical treatment

exacerbations of eczema or to reduce the size and thickness of plaques in psoriasis. If symptoms do not improve 3–7 days after initiating a topical corticosteroid, reassess the condition and consider other potential causes: Infection — such as impetigo, herpes simplex, or tinea corporis, which can be worsened by topical corticosteroids. See the CKS topics on , , , and for information on further management. Hypersensitivity reaction — consider switching to a corticosteroid with a different active ingredient (...) ). Telangiectasia. Transient burning or stinging. Permanent striae. Allergic contact dermatitis. Exacerbation of rosacea, perioral dermatitis, or tinea infections. Skin depigmentation — usually reversible. Excessive hair growth at the site of application (hypertrichosis). Vasodilation. Systemic adverse effects are rare, and more likely to occur when potent or very potent topical corticosteroids are used over a large surface area for a prolonged period (or when they are used under occlusion). Any of the adverse

2018 NICE Clinical Knowledge Summaries

65. Lichen Planus

host disease Lichen striatus, Linear epidermal nevus, Nevus unius lateralis • Eczema, Lichen simplex chronicus, Prurigo nodularis 9 • Pityriasis rosea, Guttate Psoriasis, Psoriasis vulgaris, Ekzematid-like Purpura • Drug eruption, Syphilis, Tinea corporis, Papular acrodermatitis of childhood • Granuloma annulare, Lichen amyloidosus, Pityriasis lichenoides, Kaposi sarcoma Table 1. Differential diagnosis of site-specific LP Nail Psoriasis, onychomycosis, alopecia areata, atopic dermatitis Genital (...) Lichen sclerosus, mucous membrane pemphigoid, vulval intraepithelial neoplasia, graft vs host disease, psoriasis, seborrheic dermatitis, intertrigo, Palms and soles Secondary syphilis, psoriasis vulgaris, warts, calluses, porokeratosis, hyperkeratotic eczema, pityriasis rubra pilaris, tinea, drug reaction, gloves-and-socks-disease Lichen planopilaris Cicatrial alopecia, lupus erythematosus, inflammatory folliculitis, alopecia areata, mucous membrane pemphigoid, frontal fibrosing alopecia Mucosal

2018 European Dermatology Forum

66. Pityriasis versicolor: What else might it be?

, see the CKS topic on . Tinea corporis — a dermatophyte infection of the skin, usually presenting with red or pink patches that enlarge to become ring-shaped lesions with red, scaly borders. For more information, see the CKS topic on . Seborrhoeic dermatitis — a scaly dermatitis common on the sebum-rich areas of the scalp, face, and trunk that is also linked to Malassezia yeast infection and may coexist with pityriasis versicolor. For more information, see the CKS topic on . Lyme disease — early

2017 NICE Clinical Knowledge Summaries

67. Fungal nail infection: How should I assess suspected fungal nail infection?

and the majority of people affected also have Raynaud's phenomenon or some other form of vascular insufficiency [ ]. In children with fungal nail infection, parents and siblings should be examined to exclude active infection [ ]. The recommendation to assess for fungal infection at other sites is based on the fact that toenail infection is often associated with tinea pedis, and fingernail infection is often associated with tinea corporis or tinea capitis [ ; ]. Advice on nail sampling and interpretation

2017 NICE Clinical Knowledge Summaries

68. CRACKCast E120 – Dermatologic presentations

Measles Dengue Acute meningococcemia Meningococcal disease may manifest as one of three syndromes: meningitis, bacteremia, or bacteremic pneumonia. Drug induced Chemotherapy drug: Acral erythema (e.g. due to doxorubicin) Hand-foot skin reaction Erythema multiforme [4] Describe the various presentations of tinea and their treatment Tinea refers to superficial dermatophytic infection of the skin, hair, and/or nails, usually by the Trichophyton organism. Tinea Corporis Tinea refers to superficial (...) have to be able to describe the lesion(s) to diagnosis and manage it Key steps: accurate history, physical examination, including lesions and distribution, and appropriate diagnostic tests. Incision and drainage may be adequate therapy for simple abscesses**. Antibiotics to cover MRSA are appropriate for most skin and soft tissue infections. Tinea capitis requires 4 to 8 weeks of systemic antifungal treatment. Onychomycosis requires long-term systemic treatment. Newer nonsedating antihistamines

2017 CandiEM

69. Limited effectiveness of four oral antifungal drugs (fluconazole, griseofulvin, itraconazole and terbinafine) in the current epidemic of altered dermatophytosis in India: results of a randomized pragmatic trial. (Abstract)

in chronic and chronic relapsing tinea corporis, tinea cruris and tinea faciei in an investigator-initiated, randomized, pragmatic trial.Two hundred patients with microscopy-confirmed tinea were allocated to four groups (50 patients in each group): fluconazole 5 mg kg-1 per day, griseofulvin 10 mg kg-1 per day, itraconazole 5 mg kg-1 per day and terbinafine 7·5 mg kg-1 per day. Allocation was performed by concealed block randomization and the patients were treated for 8 weeks or until cure. Effectiveness

2020 British Journal of Dermatology

70. Pityriasis rosea: What else might it be?

the umbilical region). See the section on in the CKS topic on for more information. Seborrhoeic dermatitis Erythematous patches associated with white/yellow scale. The most commonly affected areas are the scalp, face, upper chest and back, and flexures and skin folds. See the CKS topic on for more information. Secondary syphilis Non-itchy, maculopapular rash that may be generalised or only involve the palms of the hands and soles of the feet. See the CKS topic on for more information. Tinea corporis Well

2016 NICE Clinical Knowledge Summaries

71. Pityriasis versicolor

occurs. Diagnosis can be confirmed by microscopy of skin scrapings, although this is not usually necessary. Disorders that may present similarly include vitiligo, psoriasis, tinea corporis, seborrhoeic dermatitis, pityriasis rosea, erythrasma, and secondary syphilis. Initial management of pityriasis versicolor involves the use of a topical antifungal shampoo or cream. Ketoconazole 2% shampoo (once a day for 5 days) or selenium sulphide shampoo (once a day for 7 days) is recommended. Selenium sulphide (...) Pityriasis versicolor Pityriasis versicolor | Topics A to Z | CKS | NICE Search CKS… Menu Pityriasis versicolor Pityriasis versicolor Last revised in April 2020 Pityriasis versicolor (also known as tinea versicolor) is a common fungal infection of the skin that is localized to the stratum corneum. Diagnosis Management Prescribing information Background information Pityriasis versicolor: Summary Pityriasis versicolor (also known as tinea versicolor) is a common fungal infection of the skin

2015 NICE Clinical Knowledge Summaries

72. Prevalence and clinical characteristics of itch in epidemic-like scenario of dermatophytoses in India: a cross-sectional study. Full Text available with Trip Pro

, the coexistence of tinea corporis and tinea cruris was noted, followed by tinea cruris (25.2%) and tinea corporis (13.1%). The majority of patients reported itch in the last 3 days (99%) and complained of itch limited to skin lesions (89.9%). According to NRS, the mean intensity of worst itch in the last 3 days was 6.8 ± 1.8 points. Severe and very severe itch was reported by 74.7% of patients. Itch was an isolated sensation in 34.3% of subjects, while 46.9% reported associated burning sensation. Itch

2019 Journal of the European Academy of Dermatology and Venereology

73. Evaluation of efficacy and safety of oral terbinafine and itraconazole combination therapy in the management of dermatophytosis. (Abstract)

patients of tinea corporis/cruris/faciei were randomly divided into 3 groups and given terbinafine 250 mg, itraconazole 200 mg and a combination of both once daily taken on the same day respectively for 3 weeks. Partial responders at the end of the therapy were given same treatment for additional 3 weeks. Clinical parameters namely itching, erythema, and scaling were evaluated at baseline, 3, 6 and 9 weeks. Adverse effects were noted at the end of therapy.Maximum clinical and mycological cure

2019 Journal of Dermatological Treatment Controlled trial quality: uncertain

74. Epidemiology and Dermatological Comorbidity of Seborrhoeic Dermatitis - Population-based Study in 161,000 Employees. (Abstract)

relative dermatological comorbidity when controlling for age and gender: folliculitis (OR 2.1, 95% CI 2.0-2.3), contact dermatitis (OR 1.8, 95% CI 1.1-2.8), intertriginous dermatitis (OR 1.8, 95% CI 1.4-2.2), rosacea (OR 1.6, 95% CI 1.4-1.8), acne (OR 1.4, 95% CI 1.2-1.7), pyoderma (OR 1.4, 95% CI 1.1-1.8), tinea corporis (OR 1.4, 95% CI 1.0-2.0), pityriasis versicolor (OR 1.3, 95% CI 1.0-1.7) and psoriasis (OR 1.2, 95% CI 1.0-1.4).SD is a common disease which is more prevalent in men and older people (...) included (55.5% male, mean age 43.2+10.9 years). SD was identified in 3.2% (men: 4.6%, women 1.4%). A significant difference was found between age groups (2.0% in < 35; 3.6% in 35-64; 4.4% ≥ 65 years). Most frequent concomitant skin conditions were: folliculitis (17.0%, 95% CI 15.9-18.1), onychomycosis (9.1%, 95% CI 8.3-10.0), tinea pedis (7.1%, 95% CI 6.3-7.8), rosacea (4.1%, 95% CI 3.6-4.7), acne (4.0%, 95% CI 3.4-4.5) and psoriasis (2.7%, 95% CI 2.3-3.2). Regression analysis revealed the following

2019 British Journal of Dermatology

75. Efficacy of oral terbinafine versus itraconazole in treatment of dermatophytic infection of skin - A prospective, randomized comparative study. Full Text available with Trip Pro

of terbinafine and itraconazole in increased dosages and duration in the treatment of tinea corporis and tinea cruris.In this randomized comparative study, patients of tinea cruris and tinea corporis were randomly divided into two groups of 160 each and were given oral terbinafine (Group I) and oral itraconazole (Group II) for 4 weeks. The scores and percentage change in scores of pruritus, scaling, and erythema were evaluated at 2 and 4 weeks.At the end of week 4, mycological cure was seen in 91.8% after 4 (...) such as gastrointestinal upset, headache, and taste disturbances were observed which were comparable in both the groups.Itraconazole and terbinafine seem to be equally effective and safe in the treatment of tinea cruris and tinea corporis.

2019 Indian journal of pharmacology Controlled trial quality: uncertain

76. Antifungal agents for common paediatric infections

are the most common treatments . Treatment usually consists of applying shampoo preparations, such as ketoconazole 2% or selenium sulfide as a 2.5% lotion or 1% shampoo, to the affected area for 15 min to 30 min nightly for one to two weeks, and then once a month for three months to avoid recurrences . In one randomized trial using ketoconazole shampoo for three days or one day compared with placebo, the response was 73%, 69% and 5%, respectively. Tinea corporis Tinea corporis (ringworm) is a superficial (...) The Canadian Paediatric Society gives permission to print single copies of this document from our website. For permission to reprint or reproduce multiple copies, please see our . Principal author(s) Robert Bortolussi, Susanna Martin; Canadian Paediatric Society, Paediatr Child Health 2007;12(10):875-878 The most common fungal infections in infants and children are mucocutaneous candidiasis, pityriasis versicolor, tinea corporis, tinea pedis and tinea capitis . The objective of the present update

2012 Canadian Paediatric Society

77. A randomized, double-blind trial of amorolfine 0.25% cream and sertaconazole 2% cream in limited dermatophytosis. Full Text available with Trip Pro

/005246) was performed. Sixty-six untreated adults with acutely symptomatic tinea cruris/corporis were included in the study. All patients had limited cutaneous involvement and were KOH mount positive. Group A received amorolfine 0.25% cream, and group B received sertaconazole 2% cream twice daily application to the lesions for 4 weeks. After the baseline visit, four follow-up visits were carried out. The outcome measures for effectiveness were clinical and mycological cure. Safety parameters studied (...) A randomized, double-blind trial of amorolfine 0.25% cream and sertaconazole 2% cream in limited dermatophytosis. Dermatophytosis is becoming increasingly unresponsive to conventional antifungals. Newer topical antifungals may be more effective in these patients.To evaluate and compare the efficacy and safety of amorolfine 0.25% cream and sertaconazole 2% cream in limited tinea cruris/corporis.A single-center, randomized (1:1), double-blind, parallel group, active-controlled trial (CTRI/2014/12

2018 Indian journal of dermatology, venereology and leprology Controlled trial quality: uncertain

78. Impact of climate change on dermatological conditions related to flooding: update from the International Society of Dermatology Climate Change Committee. (Abstract)

bacteria were the leading causes. Infectious diseases with dermatological manifestations, such as impetigo, leptospirosis, measles, dengue fever, tinea corporis, malaria, and leishmaniasis, are important causes of morbidity among flood-afflicted individuals. Insect bites and stings, and parasite infestations such as scabies and cutaneous larva migrans are also frequently observed. Inflammatory conditions including irritant contact dermatitis are among the leading dermatological conditions

2018 International Journal of Dermatology

79. Expert Consensus on The Management of Dermatophytosis in India (ECTODERM India). Full Text available with Trip Pro

Expert Consensus on The Management of Dermatophytosis in India (ECTODERM India). Dermatophytosis management has become an important public health issue, with a large void in research in the area of disease pathophysiology and management. Current treatment recommendations appear to lose their relevance in the current clinical scenario. The objective of the current consensus was to provide an experience-driven approach regarding the diagnosis and management of tinea corporis, cruris (...) , recurrent, relapse, recalcitrant and multisite tinea cases. Topical monotherapy was recommended for naïve tinea cruris and corporis (localised) cases, while a combination of systemic and topical antifungals was recommended for naïve and recalcitrant tinea pedis, extensive lesions of corporis and recalcitrant cases of cruris and corporis. Because of the anti-inflammatory, antibacterial and broad spectrum activity, topical azoles should be preferred. Terbinafine and itraconazole should be the preferred

2018 BMC Dermatology

80. Cryptococcosis as a cause of nephrotic syndrome? A case report and review of the literature Full Text available with Trip Pro

disease he was also diagnosed as having disseminated severe tinea mannum, tinea corporis and tinea cruris; onychomycosis, skin eczema and psoriasis. After a prolonged course of anti-fungal therapy, his skin lesions as well as his nephrotic syndrome recovered completely. Follow up after 7 months without any anti-fungal or immunosuppression showed no skin or renal recurrence. We assume that the renal disease was related to the pre-existing cutaneous cryptococcosis, aggravated by immunosuppression

2018 IDCases

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