Last Updated: 2023-07-07
Author(s): Anzengruber F., Navarini A.
Mycosis of the hand.
Mainly adults are affected. Patients like to infect themselves from tinea pedum or nail mycosis.
- 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
- Detection of pathogens (epilation of hair or collection of dandruff: then native preparation and culture; biopsy)
Mostly only on one hand, can become bilateral.
- 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.
- 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.