Page 179 - fourth year book

SKIN DISEASES

Treatment and nursing care:

Griseofulvin:.25mg/kg body wt for 8 weeks.

1. Boiling head caps, pillow linen.

2. Should be sleep on a separate pillow.
3. Isolate his or her equipment as comb, head caps, and towels .

4. Diet ; Should be high protein for tissue repair.

3. Tinea circinata

Tinea circinata (t.corporis) are more commonly occur in children but
may occur at any age.

Clinical picture:

The sites are face, trunk and extremities, it is characterized by
appearance of erythematous scaly lesion usually with a circinata
appearance, and tendency to heal in the center and spread at the
periphery, more erythematous raised and usually reveals vesicles. Single

or multiple lesions are found.

Treatment:
Local antifungal, but the resistant type needs Griseofulvin therapy. (tinea

cure, Daktarin, canesten and asterol).

4. Tinea pedis

It usually seen in young adults, males are more affected than females.

Predisposing factors:

Heat, moisture, wearing boots and diabetes mellitus.

Clinical picture: The patient usually complains of itching.

Clinical types:
1. Dermoatophytosis simplex: Scaling and pealing with out

inflammatory signs and symptoms. Due to pure fungal infection

2. Dermatophytosis complex: It presents with pruritic, tender,
erythematous edematous and fissured lesion. Due to other
infection.

3. Gram-negative athletes’ foot: Painful, tender, whitish, greenish
inflamed swollen lesion with hyperkeratosis. Due to gram
negative bacteria, B coli

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