Cases reported "Hand Dermatoses"

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1/11. Rapid response of trichophyton tonsurans-induced onychomycosis after treatment with terbinafine.

    We describe an 8-year-old Hispanic female who presented with distal subungual onychomycosis and tinea capitis. Both foci of infection yielded trichophyton tonsurans upon culture, and were clinically and mycologically cured with terbinafine 125 mg, once daily for 1 week [corrected]. This aspect of treatment with terbinafine has not previously been reported.
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2/11. Tinea nigra: report of two cases in infants.

    Tinea nigra, a relatively uncommon mycosis caused by Phaeoannelomyces werneckii, is typically seen as an asymptomatic brown or black macule on the hands and feet. We present two cases of tinea nigra in children in Sao Paulo, brazil, and alert readers to the potential for confusion with melanocytic lesions.
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3/11. Tinea manuum bullosa.

    We report a case of tinea manuum bullosa in a 36-year-old male, a crop and livestock farmer by trade. The lesion, resembling contact dermatitis, was located in the palm of the right hand. We isolated trichophyton verrucosum. No other skin lesion was detected. blood chemistry and immunology test results were normal. Treatment with terbinafine 250 mg day(-1) led to clinical and mycological healing.
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4/11. A case of tinea nigra palmaris in Okinawa, japan.

    We report a case of tinea nigra on the left palm of a 13-year-old girl. She had noticed a pigmented, asymptomatic macule on the left palm approximately 4-5 years prior to her first visit to our hospital. The color of the lesion tended to change before and after a bath; it became lighter after a bath and darkened some time later. physical examination revealed that the macule was 4 cm x 5 cm in size, dark brown in color and irregularly shaped. Direct potassium hydroxide (KOH) microscopic examination from skin scrapings revealed branched brown hyphae with light brown septa. A fungal culture on Sabouraud's agar media produced wet, medium brown, yeast-like colonies, the surface of which later became black and shiny. A slide culture disclosed light brown, elliptic or peanut-shaped conidia comprised of one to two ampullaceous cells. Scanning electron microscopic examination of the conidia showed both annellation conidia with lunate bud scars and sympodial conidiogenesis. Using extracted dna from separately cultured fungi, we performed polymerase chain reaction with the primers specific to Hortaea werneckii. The results showed positive bands. We performed direct sequencing with the dna segments from the positive bands. The causative fungus in our case was determined to be type C of H. werneckii on the grounds of the base sequences obtained. The final diagnosis of the present case was made as tinea nigra by H. werneckii. We also report a brief survey of all the cases of tinea nigra reported in japan to date.
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5/11. Rapid treatment of tinea nigra palmaris with ciclopirox olamine gel, 0.77%.

    A 48-year-old white woman presented with the abrupt onset of an asymptomatic but cosmetically distressing eruption on the palm. physical examination disclosed a 2.5 x 2.0-cm macular brown patch on the central left palm (Figure 1). potassium hydroxide examination revealed brown-pigmented, septate, branching filamentous hyphae. Clinical and microscopic findings were classic for tinea nigra palmaris. Medical, family, and social history were all unremarkable. The patient applied ciclopirox olamine gel, 0.77% b.i.d. for 3 days. Following this brief therapeutic intervention, the lesion resolved completely (Figure 2). She remained clear during the ensuing 14-month follow-up.
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keywords = tinea
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6/11. Disuse contractures in a patient with tinea manuum and irritant contact dermatitis.

    Disuse contractures are reported in a patient with tinea manuum and irritant contact dermatitis. The case is presented to alert the physician to the potential for this problem in any patient with a chronic fissured dermatosis of the hands.
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7/11. Treatment of tinea nigra palmaris with miconazole.

    A patient with tinea nigra palmaris was successfully treated with 2% miconazole nitrate cream. in vitro studies demonstrated sensitivity of the causative agent, exophiala werneckii, to this antifungal agent.
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8/11. Atopic dermatitis associated with dermatophyte infection and trichophyton hypersensitivity.

    An atopic patient with tinea unguium, immediate hypersensitivity to trichophyton, and elevated specific IgE antibody to trichophyton had recalcitrant hand and foot eczema that resolved following the administration of systemic antifungal therapy for her tinea unguium. The patient fulfills criteria for the atopic-chronic-dermatophytosis syndrome described by Jones. The authors suggest that the patient's atopic dermatitis may have been exacerbated by her chronic dermatophyte infection and trichophyton hypersensitivity.
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9/11. Disseminated dermatophytosis caused by microsporum gypseum in two patients with the acquired immunodeficiency syndrome.

    microsporum gypseum is not a common agent of human dermatophytosis. To the best of our knowledge, this fungus has not been described in human immunodeficiency virus (hiv)-infected patients. We report a tinea corporis infection with atypical presentation caused by M. gypseum in two patients with the acquired immunodeficiency syndrome (AIDS) studied at the Sao Paulo Hospital (Sao Paulo, brazil).
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10/11. Long-term remission of two feet-one hand syndrome.

    Two feet-one hand syndrome is also defined as bilateral plantar tinea pedis with coexistent unilateral tinea manuum. Toenails and fingernails may also be affected and the dermatophyte trichophyton rubrum is the usual cause. When there is nail involvement, especially of the toenails, treatment with an oral antifungal agent should be considered because topical therapy alone is usually not effective. However, relapses are common. With the advent of new, more effective antifungal drugs such as itraconazole, terbinafine, and fluconazole, it is hoped that this troublesome and recalcitrant disorder may be better controlled.
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