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Tinea manuum
Medical condition From Wikipedia, the free encyclopedia
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Tinea manuum is a fungal infection of the hand, mostly a type of dermatophytosis, often part of two feet-one hand syndrome.[2][4] There is diffuse scaling on the palms or back of usually one hand and the palmar creases appear more prominent.[2] When both hands are affected, the rash looks different on each hand, with palmar creases appearing whitish if the infection has been present for a long time.[5] It can be itchy and look slightly raised.[5] Nails may also be affected.[5]
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The most common cause is Trichophyton rubrum.[2] The infection can result from touching another area of the body with a fungal infection such as athlete's foot or fungal infection of the groin, contact with an infected person or animal, or contact with soil or contaminated towels.[5] Risk factors include diabetes, high blood pressure, weak immune system, humid surroundings, excessive sweating, recurrent hand trauma and cracks in the feet.[3] Pet owners and farmworkers are also at higher risk.[5] Machine operators, mechanics, gas and electricity workers, and people who work with chemicals have also been reported to be at greater risk.[6]
Diagnosis is by visualization, direct microscopy and culture.[3] Psoriasis of the palms, pompholyx and contact dermatitis may appear similar.[3] Treatment is usually with long-term topical antifungal medications.[5] If not resolving, terbinafine or itraconazole taken by mouth might be options.[5]
It occurs worldwide.[3] One large study revealed around 84% of tinea manuum was associated with athlete's foot, of which 80% of patients admitted scratching their feet, and 60% were male,[6]
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Signs and symptoms
There is usually an itch, with generalised dry flaky thick skin of the palm of a hand.[3] Frequently, one hand is affected, but it can be in both.[3] If the back of the hand is affected, it may appear as reddish circles like in ringworm.[3] Sometimes there are no symptoms.[3] The feet may be affected as in two feet-one hand syndrome.[2]
Cause
The most common cause is Trichophyton rubrum.[2] Other causes include Trichophyton verrucosum (from cattle), Microsporum canis (from a cat or dog), Trichophyton erinacei (from a hedgehog), Trichophyton mentagrophytes, Epidermophyton floccosum, Trichophyton interdigitale, and more rarely Microsporum gypseum, Trichophyton eriotrephon, and Arhroderma benhamiae.[3][5]
Tinea manuum can result from touching another area of the body with a fungal infection such as athlete's foot or tinea cruris, contact with an infected person or animal, or from contact with soil or contaminated towels.[5]
Risk factors
Diabetes, high blood pressure, weak immune system, humid surroundings, excessive sweating, recurrent hand trauma and cracks in feet are risk factors for tinea manuum.[3] Pet owners and farmworkers are also at higher risk.[3][5]
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Diagnosis
Diagnosis is by visualization, direct microscopy and culture.[3]
Differential diagnosis
Psoriasis of the palms, pompholyx and contact dermatitis may appear similar.[3]
Prevention
Prevention is focused on hygiene such as washing hands, avoiding scratching the feet or touching fungal toe infections.[3]
Treatment
Treatment is usually with long-term topical antifungal medications.[5] If not resolving, terbinafine or itraconazole by mouth might be options.[5] Other options include clotrimazole, fluconazole and ketoconazole.[3]
Epidemiology
Tinea manuum is most common in young adult males.[3] Dermatophyte infections occur in up to a quarter of the world's population, of which the hands and feet are most commonly involved.[3] It occurs worldwide.[3] One large study revealed around 84% of tinea manuum was associated with athlete's foot, of which 80% admitted scratching their feet, and 60% were male, [6]
See also
References
External links
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