Wanke N C, Wanke B
Med Cutan Ibero Lat Am. 1985;13(6):497-501.
The authors report 13 cases of tinea manuum and emphasize that this condition is not commonly described in the Brazilian medical literature. Eight males and five females, aged 18 to 72 years, presented an infection ranging from 1 month to 20 years. The main clinical picture was of desquamating type on the palms without fingernails lesions. All patients had associated dermatophytosis of the feet. Trichophyton mentagrophytes, T. rubrum and Epidermophyton floccosum were the species isolated from the hands. The trichophytin test was positive in all cases and treatment with oral griseofulvin and topical clotrimazole and miconazole was rather effective. Clinical evaluation at the end of the treatment and afterwards did not show relapses.
作者报告了13例手部癣,并强调这种病症在巴西医学文献中并不常见。8名男性和5名女性,年龄在18至72岁之间,感染时间从1个月至20年不等。主要临床表现为手掌脱皮型,无指甲病变。所有患者均伴有足部皮肤癣菌病。从手部分离出的菌种有须癣毛癣菌、红色毛癣菌和絮状表皮癣菌。所有病例的癣菌素试验均为阳性,口服灰黄霉素以及外用克霉唑和咪康唑治疗相当有效。治疗结束时及之后的临床评估未显示复发情况。