Tinea corporis, also known as “ringworm,” is a superficial fungus of the skin that can affect any part of a boy, with the exception of the hands, feet, scalp, face, beard, groin, and nails.
It can infect people of any age, including newborns, and is present in most of the world’s regions, but is more prevalent in hot, humid climates. It is most frequently seen in children and young adults.
Etiology
The most common anthropophilic fungi that cause tinea corporis are Trichophyton rubrum, Trichophyton mentagrophytes var mentagrophytes, or M. canis, while Trichophyton interdigitale is currently the more prevalent species in India.
Tinea corporis risk factors related to medicine include:
An active or past tinea infection.
· Diabetes mellitus.
· Immunodeficiency.
· Hyperhidrosis.
· Xerosis
· Ichthyosis
Environmental risk factors include:
· Household crowding.
· Infection of household members.
· Keeping house pets.
· Wearing occlusive clothing.
Socially interactive leisure activities, such as using shared restrooms.
Clinical features
Tinea corporis initially appears as a single, circular red patch with a raised, scaly leading edge. The lesion then spreads from the center to form a ring-shaped lesion with central hypopigmentation and a peripheral, scaly, red rim (ringworm). The border may be papular or pustular. Itching is frequent. The distribution of lesions is typically asymmetrical.
Clinical variants
the following categories of clinical tinea corporis variations.
·Kerion:a severe zoophilic fungal inflammatory response that manifests as pustules.
·Tinea gladiatorum:skin-to-skin contact, which occurs during contact sports like wrestling or martial arts, has an impact on participants.T. tonsurans.
·Tinea imbricata:polycyclic plaques with thick scale and numerous concentric rings as a result ofT. concentricum.This variant is widespread in the Pacific Islands and other tropical equatorial regions, where it is particularly itchy.
·Tinea incognita:Due to the topical application of corticosteroids or calcineurin inhibitors, the inflammatory reaction is suppressed, resulting in lesions that lack the typical tinea corporis characteristics of scale and erythema.
·Majocchi granuloma:Most frequently found on the limbs after shaving, this variation affects the hair follicles and subcutaneous tissue and manifests as a papule or pustule per follicle.T.rubrumis the usual organism.
·Tinea atypica:This term refers to cases that respond to treatment and differ from the classic tinea corporis in that they are pigmented and sometimes have a lichenified appearance on Indian skin.
·Bullous tinea corporis:a rare variation that shows up as blisters or vesicles.
Differential diagnosis
Nummular eczema:Discoid patch that is typically multiple, symmetrical, and covered in vesicles, oozing, and itching.
Pityriasis rosea:Generalized, symmetrical, scaly plaques on the trunk.
Psoriasis:Positive grattage test, silvery scales, and scaly plaques.
HOMEOPATHY MEDICINES
Graphites
Severe itchiness throughout the entire body, worse at night and during periods of warmth.
Natrum muriaticum
Extreme itching and burning, which is worse after exertion, a border of a hairy scalp, affected joint bends, and a craving for salt or salty foods.
Sepia
The entire body is affected, itching more when doing laundry or after sweating; itching is improved by being warm in bed or taking a cold bath; and one is mentally unconcerned about those who are most dear to them.
Sulphur
The condition affects the entire body and is worse in dry weather.
Tellurium
Intense itching and stinging of the skin, worse at night and in cold weather, a craving for apples, ringworm with otorrhea. Ringworm of the whole body, on the face, single parts, lower limb, scrotum, and perineum are affected.
Thuja occidentalis
Except for the head, all of the body was covered. The head bled and itched more after the vaccination, especially at 3 a.m. and 3 p.m., and the ideas were fixed.
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