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Dermatophytosis, also known as tinea and ringworm, is a fungal infection of the skin [2] (a dermatomycosis), that may affect skin, hair, and nails. [1] Typically it results in a red, itchy, scaly, circular rash. [ 1 ]
This type of dermatophytosis can have a subtle appearance, sometimes known as "tine incognito". [11] It can be misdiagnosed for other conditions like psoriasis, discoid lupus, etc. and might be aggravated by treatment with immunosuppressive topical steroid creams. [12]
Topical antifungal treatment, such as the use of terbinafine, itraconazole, voriconazole, and ketoconazole, is often effective. [5] E. floccosum is one of the 2 species in the genus Epidermophyton. [6] [7] During the 20th century, this species was the fourth most common cause of dermatophytosis in North America. [8]
The fungus can also exist in a carrier state on the scalp, without clinical symptomatology. Treatment of tinea capitis requires an oral antifungal agent; griseofulvin is the most commonly used drug, but other newer antimycotic drugs, such as terbinafine, itraconazole, and fluconazole have started to gain acceptance.
Athlete's foot is a form of dermatophytosis (fungal infection of the skin), caused by dermatophytes, funguses (most of which are mold) which inhabit dead layers of skin and digest keratin. [2] Dermatophytes are anthropophilic , meaning these parasitic funguses prefer human hosts.
Trichophyton rubrum is a dermatophytic fungus in the phylum Ascomycota.It is an exclusively clonal, [2] anthropophilic saprotroph that colonizes the upper layers of dead skin, and is the most common cause of athlete's foot, fungal infection of nail, jock itch, and ringworm worldwide. [3]
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Superficial scrapes of skin examined underneath a microscope may reveal the presence of a fungus.This is done by utilizing a diagnostic method called KOH test, [6] wherein the skin scrapings are placed on a slide and immersed on a dropful of potassium hydroxide solution to dissolve the keratin on the skin scrappings thus leaving fungal elements such as hyphae, septate or yeast cells viewable.