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Tinea manuum bullosa.

N Aste1, M Pau, N Aste

  • 1Department of Dermatology, University of Cagliari, Cagliari, Italy. derme@unica.it

Mycoses
|February 1, 2005
PubMed
Summary
This summary is machine-generated.

A rare case of bullous tinea manuum was diagnosed in a farmer. Topical antifungal treatment with terbinafine effectively cleared the fungal infection on the hand.

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Area of Science:

  • Dermatology
  • Mycology

Background:

  • Tinea manuum, a fungal infection of the hand, can present with varied clinical manifestations.
  • Bullous tinea manuum is a less common presentation, often mimicking other inflammatory skin conditions.

Observation:

  • A 36-year-old male crop and livestock farmer presented with a bullous lesion on his right palm, initially suspected as contact dermatitis.
  • Isolation of Trichophyton verrucosum confirmed the diagnosis of tinea manuum bullosa.
  • Systemic examinations, including blood chemistry and immunology, revealed no abnormalities.

Findings:

  • The patient was treated with oral terbinafine at a dosage of 250 mg daily.
  • Complete clinical resolution and mycological cure were achieved following the treatment course.

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Implications:

  • This case highlights the importance of considering fungal infections in the differential diagnosis of hand dermatoses, even with atypical presentations.
  • Trichophyton verrucosum should be considered as a potential pathogen in farmers presenting with hand lesions.
  • Oral terbinafine is an effective treatment option for bullous tinea manuum.