TINEA PEDIS ET MANUS

TINEA PEDIS
It is commonly called athletes foot.
More than half of tinea cases are
tinea pedis.
Multiple dermatophytes are seen in
the scales. The most common
causative fungus is Trichophyton
rubrum, followed in frequency by
Trichophyton mentagrophytes.

ETIOLOGY
Trichophyton rubrum (most
commonly)
Trichophyton mentagrophytes
Epidermophyton floccosum

CLINICAL FEATURES
There are 4 TYPES OF tinea pedis :
1. Interdigitalis
2. Moccasins
3. The type of acute ulceration
4. Type vesicobulous WITH ALL skin
characteristics of each character of
tinea pedis.

INTERDIGITALIS
Explaination

Manifestations such as
maceration, desquamation
and erosion on the
sidelines of a finger
Looks whitish wet, it could
happen fissures pain when
touched
Secondary infections can
accompany these fissures
and lesions may extend to
the finger nails and skin.

Picture

MOCASSIN
Explanation

On the whole leg, from the

foot, edge to the instep,
thickened and scaly skin
looks smooth and like
powder
Erythema usually mild and
seen at the edges of the
lesion
In sides of lesions can be
seen papules and
sometimes vesicles

Pictures

ACUTE ULCERATION

Explanation
This type is infected by
gram-negative bactery.
T. mentagrophytes
Vesikulo-Pustular lesion,
and purulent ulcer
surface area on foot
Connected with
cellulitis, lymphangitis,
lymphadenopathy, and
fever

Pictures

VESICOBULLOUS

Explanation
Characterized
by the
formation of vesicles or
bullae located rather deep
under the skin
Usually acute and very
itchy
Common location is the
center of the foot and then
widening and can be broke
vesikel
Fungi found on the roof of
vesicles or bullae to be
examined by direct
preparation or culture.

Picture

DIFFERENTIAL DIAGNOSIS
Tinea pedis interdigital type: chronic
psoriasis, candidiasis, eritrasma.
Tinea pedis moccasin-type :
Psoriasis, keratoderma and
dyshidrotic
Vesicobullous Type : Pustular
psoriasis, Pyoderma bacteria,
palmoplantar pustulosis

TINEA MANUS
Tinea manuum is dermatofitosis affecting palmar and
intergital of hands, usually asymmetric and occur
together with tinea pedis
Tinea manuum can occur if there is direct contact with:
infected people or animals and fungi are ground
(Trichophyton erinacei - hedgehog;
T. verrucosum - from cattle;
Microsporum canis - from cats or dogs;
M. gypseum - from the ground) and almost always
coincided with tinea pedis, and
occurs most often in the dominant hand

ETIOLOGY
Tinea manuum caused mainly by :
T.rubrum
T.mentagrophytes
E. floccosum.

CLINICAL FEATURES
Explanation

Dishidrosis/eksematoi
d
acute vesicles on the
lateral side and
palmar fingers

Picture

CLINICAL FEATURES
Explanation

in chronic cases can

be the entire palm of
the hand

Pictures

DIFFERENTIAL DIAGNOSE
The differential diagnosis includes:
dyshidrosis and 'dermatophytid'
reactions, eczema, contact dermatitis,
palmar psoriasis, or even normal rough
hands.
Unilateral involvement, the emergence of
nail onychomycosis, a lack of exposure to
an irritant or allergen, and no change in
nail psoriasis, raising suspicion palmar
tinea manuum