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Tinea Manuum

more about Tinea Manuum


  • Tinea manuum is a fungal infection of the skin on the hands.  Generally, it causes a scaly rash that may be accompanied by burning or itching.  Treatment is usually with anti-fungus creams or with oral anti-fungus pills.

  • Mostly, a scaly rash on the palms
  • Often it does not cause any symptoms. It can cause itching, stinging, or burning.  Usually, the rash is not painful.
  • The infection can occur anywhere on the hands, but it usually occurs on the palms or in the space between fingers.
  • If the infection is not treated, it may cause the skin to crack.
  • It can also cause the skin to be wet and "weepy."
  • Sometimes, the surrounding skin can become infected and cause Cellulitis (inflammation).

  • Tinea manuum is due to a fungal infection of the skin on the hands.

  • Examination -- the doctor may easily recognize the typical appearance of the rash.
  • The doctor may also scrape the rash and examine it under the microscope.
  • Sometimes a culture of the rash may be needed to make the diagnosis.

  • If the area is wet and "weepy," an aluminum subacetate solution may help with wetness, and also with the infection.  Soak the infected hand in the solution twice a day for 20 minutes each time.  In addition, an anti-fungus cream may be used.
  • If the rash is only dry and scaly, then treat it with any of the numerous anti-fungus creams currently available.  Treatment should be continued for 1 to 2 weeks after the rash has cleared.  Often, over-the-counter anti-fungus creams are adequate.  Other times, prescription-strength cream will be required.
  • Creams usually do not work on fugal infections of the nails -- treat with oral anti-fungus medicines.
  • For fungal infections of the hand that do not respond to creams, an oral anti-fungus medicine such as Griseofulvin (250-500 mg twice a day for 2-4 weeks) can be used.  Once the infection is cured, use anti-fungus powders or creams to prevent repeat infections.
  • Itraconazole (200 mg once a day for 2 weeks) or Terbinafine (250 mg once a day for 2 to 4 weeks) are other options.  However, all these medications tend to be expensive.
  • Treatment is usually successful within 2 to 4 weeks.

  • General measures used to prevent fungal infections are important.  Keep the skin dry-moist skin encourages fungal infections.
  • Dry all areas of the skin after a bath or after heavy sweating, especially in between the fingers.
  • Wear loose fitting clothing.
  • Change socks frequently -- this is especially important for those who have a tendency to perspire a lot.
  • Try to wear open-toed shoes or sandals.
  • Use talc or other drying powders to keep dry the areas of heavy perspiration.  One can even use over-the-counter anti-fungus powders.
  • People using steroid creams, taking steroid pills, or those with diabetes have a higher chance of developing fungal infections, and need to be especially careful.


  • Special Information

    1. Fungal infections of the hand have a high likelihood of recurring, despite treatment and pre-cautions.  They tend to come and go, calling for life-long, repeated treatments.  Be extremely careful once it has been cured by continuing to use anti-fungus powders or creams, keeping the area clean and dry, and using gloves during prolonged exposure to wet conditions.  In this way, one may reduce the chances of repeat infections.





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