April 8, 2018

Tinea

Tinea

It is a type of fungal infection commonly K/as Ringworm, mainly present over the areas with sweat  glands over the various parts of body, commonly infected parts are groin, k/as T. cruris, scalp – k/as T. capitis, Body – k/as T. Corporis, Feet- k/as T. pedis, Hands- k/as T. Mannum, Beard- k/as T. Barbae and the Nails- k/as T. Unguium.

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This effects men who work with animals, Diabetics, immunocompromised  and is often accompanied by inflammation to ingrown hairs and bacterial folliculitis.

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It presents commonly with oval shaped red, inflamed with white scales & is itchy in nature.

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Flucanazole, Terbinafine, Itraconazole are generally used in the treatments, but nowadays tinea infection has develooped resistant to the antifungal drugs because of the self medication. Recurrences are high after the treatment.

 

Precautions to be taken to avoid the infection & recurrences.

Shower to be taken daily & specially after heavy sweating.Wear socks that can trap moisture and change them daily, as well as changing your underwear daily. Do not share combs, socks, underwear, clothes, towels, and brushes.  Wear shoes that are well ventilated with small holes to keep the feet dry.  Do not wear the same shoes two days in a row, as the shoes need to air out to prevent moisture from building up and prevent fungus growth.

Once you are over with the treatment use antifungal soap once a week and dusting powder daily for further few months.

 

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Ichthyosis (ick-thee-OH-sis) is a skin disease that causes extremely dry, thick, and scaly skin resembles fish scales.

These are a heterogeneous group of disorders with both inherited and acquired forms. these are the types
Ichthyosis Vulgaris- Most common type of icthyosis Lamellar Ichthyosis- Lamellar ichthyosis is characterized by dark, plate (armor)-like scale. Epidermolytic Hyperkeratosis- characterized by generalized redness and fine white scale Congenital Ichthyosiform Erythroderma- newborn infant with ichthyosis who presented at birth with collodion baby appearance. X-linked Ichthyosis- due to a defect in the enzyme steroid sulfatase, affects males with generalized scaling that usually begins soon after birth.

Ichthyosis Treatment

Several hours each day may need to be devoted the skin if ichthyosis is present in an individual. Daily, a person will need to take a shower or a bath. The skin should be exfoliated on a daily basis, and moisturised well. Moisturising ointments or creams may need to be prescribed by a dermatologist for the individual. Oral retinoids can be prescribed to reduce scaling. If a secondary infection occurs on the skin, oral antibiotics will need to be prescribed. Tips that will help keep the skin looking and feeling its best include applying a good quality lotion within 3 minutes of bathing. Apply to wet skin to keep moisture trapped into the skin. Products that contain lactic acid, alpha hydroxy acids and urea will help to keep skin not only moisturised but also exfoliated. Rubbing a wet pumice stone over crusty scales on the skin can help to remove them. Should there be scales on the scalp, brushing wet hair gently will aid in removing the scales.  

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