Concluded Case

Tinea corporis or tinea incognito!?

20 years old female came with complaints of raised patchy lesions illdefined margins and demarcation raised plaques started as a single pustule now have spread all over the body .previously diagnosed as tinea corporis and was put under Rx with itraconazole terbinafine 2% cream multivitamins and antioxidants and atarax 25% but lesions still spread widely.... Diagnosis and treatment please

(Edited)

4 Likes

LikeAnswersShare
Concluded answer

Dr. Raghu, Here visual shows...first one is classical TINEA CORPORIS...2nd and 3 rd visual shows hyperpigmented lichenified plaques on posterior and lateral aspects of thighs with raised margins are highly suggestive of TINEA RUBRUM infection and presentation is suggestive of CHRONICITY of infection. So needs for longer duration of treatment... Treatment Before bath use antifungal shampoos on plaques and keep it for 1 hr... Antifungal with salicylic acid combination cream is best for these patients to reduce hyperpigmentation and hyperkeratosis, only for 5 days... 6 th day onwards specific antifungal cream like Amorolfine or Sertaconazole..is preferable only in night times.... Cap itraconazole 200 mg 4 to 6 weeks... Application of creams on lesions should be 3 to 5 cm beyond the active borders Personal hygiene Used cloths and linens should be wash thoroughly in the dettol added boiler water Dusting the lesions by antifungal dusting powders.. Use ketoconazole soaps until lesions clear.

All Answers

Dr. Raghu, Here visual shows...first one is classical TINEA CORPORIS...2nd and 3 rd visual shows hyperpigmented lichenified plaques on posterior and lateral aspects of thighs with raised margins are highly suggestive of TINEA RUBRUM infection and presentation is suggestive of CHRONICITY of infection. So needs for longer duration of treatment... Treatment Before bath use antifungal shampoos on plaques and keep it for 1 hr... Antifungal with salicylic acid combination cream is best for these patients to reduce hyperpigmentation and hyperkeratosis, only for 5 days... 6 th day onwards specific antifungal cream like Amorolfine or Sertaconazole..is preferable only in night times.... Cap itraconazole 200 mg 4 to 6 weeks... Application of creams on lesions should be 3 to 5 cm beyond the active borders Personal hygiene Used cloths and linens should be wash thoroughly in the dettol added boiler water Dusting the lesions by antifungal dusting powders.. Use ketoconazole soaps until lesions clear.

Valuable opinion
0

View 2 other replies

Lesions are fungal infection suggestive of tenia corporis incognito Raised IgE do suggest allergic components may be contributing Rx locally CSR 6%oint twice daily Amrolfine oint twice daily Orally cap itracanazole200mg 1od Tab Levocetrizine5mg 1bd Tab monteleukast 10mg 1od Tab dispred4mg 1tds Review after 15days Tapper off steroids gradually Continue antifungals orally and locally

Thanx dr P Kumar
0

View 3 other replies

Tinea Corporis/incognito Long duration of treatment 2-3months with anti fungals n anti allergic & Antioxidants anthelmintic orally. Topically Dipsalic + Terbinafine 1:1 local application twice a day . Educate the pt not to loose hopes n avoid Dr's marketing, ensure personal hygiene, fibre food.

Tenia corporis ,or its medication are unlikely to be connected with bleeding PV. Need to have gynec opinion. Rule out DM, Hypothyroidism . Need to continue antifungals.

Thank you doctor
0

Tinea infection. Glycemic index and Thyroid profile. Consult Gynecologist for gynecology problem. Anti fungal oral applications of Micanazole + Colbesterol + Neomycin.

Thank you doctor
0

Tinea infection Tab. Erbinox 250mg Clobeta GM

Tinea corporis

T.incognito

Thank you doctor
0

View 1 other reply

Tinea corporis Adv. Betasalic oint. Twice daily Anti fungal medication

Tinea corporis.

Load more answers