Tinea corporis or ringworm of the body
Lesions appear as round, red,
scaly, patches with well-defined,
raised edges, often with a
central clearing and very itchy
(usually on trunk, limbs, and
also in other body parts).
causes tinea corporis
TrichophytonandMicrosporum.
T. rubrumis the most common
causative agent of tinea
corporis worldwide
T. rubrum
Microsporum
Tinea facieior facial ringworm
Round or ring shaped red
patches may occur on non-
bearded areas of the faceThis
type of dermatophytosis can
have a subtle appearance,
sometimes known as "tine
incognito".
[
Trichophyton rubrum (T
rubrum). Infection often
comes from the feet (tinea
pedis) ornails(tinea unguium)
originally.
Zoophilic (animal) fungi such
as Microsporum canis (M
canis), from cats and dogs,
and T verrucosum, from farm
cattle, are also common.
Microsporum canis
T verrucosum
Tineacapitis is
afungalinfectionof the scalp,
involving both the skin
andhair. It is also known as
scalp ringworm..
Symptoms of tinea capitis
include hair loss,
dryscalyareas, redness, and
itch.Tinea barbaeis
essentially the same condition
involving the beard area
Tinea capitis or scalp ("black dot") ringworm
Children from ages 3-7 are most
commonly infected with tinea
capitis
Trichophyton tonsuransis an
the most common cause of
tinea capitis in the United
States
T. violaceum
Tinea capitis: Wood lamp
fluorescence
Specimens are wet-mounted
in potassium hydroxide and
examined under a
lightmicroscopefor the
presence of hyphae and
spores.
Culture
Fungal culture allows
identification of the causative
agent, and hence the possible
source of infection. However,
it is slow, taking up to 4 weeks
Tinea manuum or ringworm of the hands
In most cases oftinea manuum,
only one hand is involved.
Frequently both feet are
involved concurrently, thus the
saying "one hand, two feet
Onychomycosis, tinea unguium, or ringworm of the nail
Onychomycosis, also known astinea
unguiumis afungal infectionof thenail
Symptoms may include white or yellow nail
discoloration, thickening of the nail,
andseparation of the nail from the nail bed
fungalnailinfections
Onychomycosis can be due to:
•Dermatophytessuch asTrichophyton rubrum(T.
rubrum),T. interdigitale(tinea unguium)
•Yeastssuch asCandida albicansand rarely,non-
albicans Candidaspecies
•Mouldssuch asScopulariopsis
brevicaulisandFusariumspecies.
•Lateralonychomycosis —a white or yellow opaque
streak appears at one side of the nail.
•Subungualhyperkeratosis—scalingoccurs under
the nail.
•Distalonycholysis—the end of the nail lifts. The
free edge often crumbles.
•Superficial white
onychomycosis
•flaky white patches and pits
appear on the top of thenail
plate.
•.
•Proximalonychomycosis
yellow spots appear in the
half-moon (lunula).
dermatophytomathicklocalisedarea of
infection in the nail plate
•Destruction of the nail
Fingernail infections are usually cured more quickly
and effectively than toenail infections.
Mild infections affecting less than 50% of one or two
nails may respond totopicalantifungalmedications,
Recently, non-drug treatment
has been developed to treat
onychomycosis thus avoiding
the side effects and risks of
oral antifungal drugs.
Lasersemitting infrared
radiation are thought to kill
fungi by the production of
heat within the infected
tissue.Lasertreatment is
reported to safely eradicate
nail fungi
the diagnosis of onychomycosis
The clippings and scrapings
are sent to amycology
laboratoryformicroscopyand
culture.
Identification of
dermatophytes
colony appearance
microscopic feature
Trichophyton rubrum
White granular fluffy
red to brown
Tear shaped
White wooly
reverse yellow to brown
Conidia
spherical
Hyphae spiral
Microsporum canis
White to yellow
reverse deep yellow
Macroconidia pointed
superficial projection