Tinea Corporis

Basics

This is a superficial cutaneous infection caused by a fungus known as a dermatophyte. The other name used to describe a tinea infection is ringworm. This infection appears on the arms and legs, especially on glabrous skin.

Transmission

  1. Human-to-human transmission
  2. Animal-to-human transmission
  3. Inanimate objects (toiletries, beds, linen, etc) to human transmission

Risk Factors

  1. Patients who live in crowded humid conditions
  2. Patients that participate in close contacts
  3. Wear tight clothes with poor aeration, resulting in increased sweat and moisture.
  4. Immunocompromised states (HIV, Diabetes Mellitus, Immunosuppressive Drugs)

Description

Figure 1: Ringworm on the arm, or tinea corporis due to Trichophyton mentagrophytes.
  1. Itchy ring-like patches
  2. Raised borders
  3. Scales to touch
  4. Patches slowly grow bigger, and as this patch extends the central area becomes clear. In patients with darker skin, this area may become hyperpigmented.
  5. There may be hair loss in the area of infection.

Management

General

  • Prevent the infection from spreading to others. Advice the patient to not share any clothes, towels, toiletries.
  • Wash skin well and dry before the application of medicine.

Medical

  • Imidazole: Clotrimazole 1% cream topical applied three times per day. The cream should be used for at least 2 weeks after the lesions have been cleared.

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