We can also see it with individuals who have systemic disease like diabetes and lymphoma, these are also associated with the immuno suppression, these conditions can cause immuno compromised and increase your risk for getting tinea corporis so what does tinea corporis look like, so tinea corporis is a circular or oval-shaped skin lesion and it occurs on most body surfaces like the trunk, the arms, the neck, the legs, except for the scalp, the hands, the feet and the groin.
If a fungal infection affects these areas of the body, in other lessons tinea corporis presents as erythema tiss and paretic so it’s itchy, it has an itchy sensation to it and as I mentioned for its circular and oval in shape and it’s strongly or clearly demarcated so demarcated means that you can clearly see the border from the lesion to normal skin, there is a very distinct separation and it is a scaling lesion and it can either be a patch or plaxo, it can either be flat or can be slightly raised and it spreads centrifugal which means it spreads in all directions outward and as it advances, as it spreads outward with an advancing border, the center of it begins to clear, there is also something called tinea corporis gladiatori, tinea corporis gladiatori can be said to be a subset of tinea corporis, it is tinea corporis but it is caused in a certain way and tini corporis gladiator is often caused by trichophyton conser ins as opposed to trichophyton rubrum which is the most common cause and it is unique of course of an idea tourism because it is more often found in athletes and we can think of it as it’s more often found in gladiators, that’s where that word gladiatorial comes from so it’s actually transmitted by extensive direct contact with other infected individuals. You can see this in contact sports like football or wrestling, then there’s this odd presentation where there could be sharp raised edges that are popular and there’s also this other term you might hear teeny corpis gladiatori or what we call gladiators that is transmitted by extensive direct contact with other infected individuals and oftentimes it’s caused by trichophyton ponds runs and there’s also another clinical variant – tinea coris pores and that is known as mature G’s granuloma, so mature G’s granuloma is actually tinea corporis that has gone a little bit wonky so it’s actually where the dermatophyte extends down along a hair follicle, it causes somewhat of a folliculitis to invade deeper skin structures, so what we do find is that small cuts can predispose to this condition especially shaving and it presents as papules nodules plaques or pustules so you can see a pustule, here is another look to this condition, you can see that there’s some papules here and here’s another way that this condition might look and this can actually lead to an abscess as the dermatophyte extends down into deeper skin structures. It can actually cause an abscess to form in this condition, it is more likely to occur in males so it is tinea corporis that has gone a bit wonky, it has essentially extended and invaded down along a hair follicle into deeper skin structures causing this altered clinical presentation, how do we diagnose and how do we treat tinea corporis pores….so the diagnosis of this condition involves oftentimes clinical reasoning or clinical diagnosis in order to definitively say that this is technique or porous, we can do a potassium hydroxide wet mount so a koh prep or koh wet mount, so what we do is we use a koh wet mount and we look at skin scrapings from a skin lesion and if we visualize segmented hyphy, that is the diagnosis of a tinea infection….so how do we treat this condition, a lot of times we want to try to modify the risk factors first, so we talked about all those risk factors before, so we want to try to modify those and then we can use topical antifungals, so you can think of the A’s, also a lot of times that’s the first line but you can use NAFTA Fein u10 afine and paul navigate and we oftentimes have to use these topical antifungals once to twice a day for one to three weeks and important here is that nystatin is not effective for technique or pores and if the topical antifungal is not effective, we might have to move on to oral antifungals like in afine so again to diagnose this condition, it is often a clinical diagnosis, we see the skin lesion and we look at risk factors and we determine that this is a ten year skin infection or we could do a Koh wet mount and visualize segmented hyphy treatment, it involves modifying risk factors. It’s important to modify what might be causing this in the first place so it could be tight-fitting clothing and then we can use topical antifungal like the easels and we treat for a few weeks and if that’s not effective, use oral antifungals.