👩🦳 in her 70s: on the L 🦶, initially appeared pruritic papules that evolved to fluid-filled blisters with tense and denuded bullae (Fig1).
Over the ensuing 6 weeks an expanding annular plaque with peripheral scale (Fig2).
¼
DOI:doi.org/10.1016/j.mayo…
#dermatology #mycology
Over the ensuing 6 weeks an expanding annular plaque with peripheral scale (Fig2).
¼
DOI:doi.org/10.1016/j.mayo…
#dermatology #mycology
🔬(KOH): hyphae
🧫: Trichophyton rubrum
BULLOUS TINEA PEDIS.
The patient responded well to terbinafine cream and dilute acetic acid soaks.
2/4
#microbiology #IDtwitter
🧫: Trichophyton rubrum
BULLOUS TINEA PEDIS.
The patient responded well to terbinafine cream and dilute acetic acid soaks.
2/4
#microbiology #IDtwitter
Bullous tinea, seen in adults and children, and most often affecting the feet, presents with an erythematous scaly rash with serous fluid-filled bullae, as opposed to the pus-filled blisters of bullous impetigo.
3/4
#MedTwitter #Doctor #MedStudentTwitter #MedEd
3/4
#MedTwitter #Doctor #MedStudentTwitter #MedEd
Clues to diagnosis:
- unilateral, localized distribution
- expanding annular scaling
- concomitant onychomycosis
- and a lack of response to topical corticosteroids.
Topical terbinafine is effective against most culprit dermatophytes.
4/4
#resident #medicine #MedicalStudents
- unilateral, localized distribution
- expanding annular scaling
- concomitant onychomycosis
- and a lack of response to topical corticosteroids.
Topical terbinafine is effective against most culprit dermatophytes.
4/4
#resident #medicine #MedicalStudents
• • •
Missing some Tweet in this thread? You can try to
force a refresh
