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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.

more about Tinea Manuum

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