Page 180 - fourth year book

SKIN DISEASES

Treatment and nursing care:

1. Local fungicidal and Griseofulvin are given if there is no response
to local treatment.

2. Ventilated shoes are advised.

3. Rubber shoes and boots are harmful.

4. Cotton socks with antifungal powder.

5. Tinea cruris

It is common in males than females, adolescent and adult individuals
and rare found in children. Heat, perspiration and physical activity tends
to aggravate the disease.

Clinical picture:

Itching is located in the upper inner surfaces of the thighs, gluteal lesion,
perigenital lesion, but may occur in the axilla.

Treatment:

 Topical or systemic Griseofulvin.

6. Tinea unguium (nails)

Toenails are more affected than the finger's nails
Clinical picture:

The affected nails are discolored, lusterless brittle, thickened, friable and

may become pitted and grooved
1. Brown discoloration of the nails.

2. Subungual Hyperkeratosis

3. Separation of the nails from the nail bed along lateral margins.

Treatment:

Scrape the nail plate gently and apply local fungicidal (aerosol tincture of
iodine salicylic 3%). (Tinea cure, Daktarin, canesten and asterol.)

7. Pityriasis versicolor

The disease is commonly seen in young adult, rarely seen in children
and old age, it occurs in both sexes

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