Presentator:Dini Pratiwi N (110 210 0074)Novi Riyadhah Masum (110 210 0078)Nur Afifah Thamrin (110 210 0138)

Advisor:dr. Suci Nugraeni

Supervisor:dr. Widya Widita, Sp.KK, M.Kes

Tinea manuum is dermatophytes involves the palmar and interdigtal areas of the hands.

Infections of the dorsal surface present no specific features and are considered as ringworm of the glabrous skin under tinea corporis. This section is therefore concerned with ringworm of palmar skin and with infections beginning under rings.

Tinea manuum usually asimetris and commonly occurs in association with moccasin type Tinea pedis and onycomyosis, diffuse surface of palmar, dry, and hyperceratotic

Causative agents include :Trichophyton rubrum, Trichophyton mentagrophytes var. interdigitale,Less often Trichophyton violaceum and Trichophyton erinacei

Tinea manuun is acquired through direct contac with an infected person or animal, the soil, or via autoinculation.

Hyperkeratosis of the palms and fingers affecting the skin diffusely is the common variety and is unilatercresentic exfoliating scales, circumscribed vesicular patches, discrete red papular follicular scaly patch and erythematous scaly sheets on the dorsal surface of the hand.

well-demarcated scaling patches, hyperkeratosis, and scaling confined to palmar creases, fissures on palmar hand. Borders well demarcated; central clearing

a large erythematous scaling plaque with sharp margination on the dorsum of the left hand associated with Tinea pedis and distal subungual onychomicosis.

Through the microscope we can see septate hyphae.

On Sabouraud's dextrose agar, colonies are flat to slightly raised, white to cream, suede-like to downy, with a yellow-brown to wine-red reverse.

Woods light examination may be carried out. Examination of the scalp, stump of hair, or face is done in a dark room. Green flourescence is sen with M.canis and M.audonii infection

Dermatitis Contact Candidiasis Psoriasis

Topical therapy includes witfield oinment, azole (miconazole and clotrimazole), imidazole ( ketoconazole), or allylamines ( terbinafine or naltifine cream), these are applied twice daily for 4 weeks.

The prevalence of tinea manuum is directly related to the level of tinea pedis in the population. Prompt treatment of tinea pedis and the use of separate towels are sensible measures that can be recommended, but it is likely that tinea manuum will continue to occur sporadically and a greater awareness of this condition, so that it may be recognized promptly, is of prime importance.