Tinea manuum

Last Updated: 2023-07-07

Author(s): Anzengruber F., Navarini A.

ICD11: 1F28.Y

1/14

Mycosis of the hand.

Mainly adults are affected. Patients like to infect themselves from tinea pedum or nail mycosis.

  • Exciter
    • Trichophyton rubrum (large majority)
    • Trichophyton mentagrophytes (approx. 10%)
    • Epidermophyton floccosum (approx. 4%)
    • Microsporum canis
    • Microsporum gypseum
  • Mostly transmission occurs through fungal infections at other localisations

  • The backs of the hands and fingers, the interdigital space and the palms may be affected. Mostly erythematous, scaly, ggl. hyperkeratotic-rhagadiform plaques are seen
  • An association exists with tinea barbae

  • Clinic
  • Detection of pathogens (epilation of hair or collection of dandruff: then native preparation and culture; biopsy)

Mostly only on one hand, can become bilateral.

  1. Lachapelle JM, De Doncker P, Tennstedt D, Cauwenbergh G, Janssen PA. Itraconazole compared with griseofulvin in the treatment of tinea corporis/cruris and tinea pedis/manus: an interpretation of the clinical results of all completed double-blind studies with respect to the pharmacokinetic profile. Dermatology 1992;184:45-50. 
  2. Bourlond A, Lachapelle JM, Aussems J, et al. Double-blind comparison of itraconazole with griseofulvin in the treatment of tinea corporis and tinea cruris. Int J Dermatol 1989;28:410-2.