Homeopathic Remedy for Ringworm

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Ringworm Tinea Dermatophytosis

Favus (Latin for honeycomb), a distinctive type of ringworm, was described by Celsus in the first century. He called it porrigo, a term also used by Pliny in the same century and by dermatologists up to the nineteenth century. It is now, however, obsolete, having been replaced by tinea. Celsus also described the inflammatory lesion of some forms of ringworm, which is termed the kerion of Celsus. A period of mycologic confusion followed, complicated by the difficulty of determining the life histories of the pathogens and whether there was one ringworm fungus or many. Gruby's findings were forgotten and had to be rediscovered during the 1890s by Parisian dermatologist Raymond Sabouraud, who published his research in 1910. Many ringworm fungi were classified variously according to mycologic and clinical features. Some thousand different names had been proposed up to 1934 when C. W. Emmons in the United States showed that the many species could be accommodated in three genera Microsporum,...

Patchy Nonscarring Alopecia

Most patients are reluctant to admit to this behavior. Trichotillomania usually begins in childhood. Certainly in children suffering from this condition some attempt at evaluating the child's home situation is in order. A scalp biopsy with examination of multiple sections may help differentiate trichotillomania from alopecia areata, which it may mimic clinically. A fungal culture should be performed to rule out tinea capitis. A gentle hair pull helps rule out loose anagen syndrome. Tinea capitis (see FigL 19-10) is more commonly seen in children than in adults and can cause a patchy hair loss characterized by broken off hairs and scaling of the scalp. Currently in the United States the most common fungal organism causing this condition ( Trichophyton tonsurans) does not cause fluorescence with a Wood's light. Usually tinea causes a nonscarring hair loss. A severely inflammatory tinea can result in scarring. A potassium hydroxide slide and fungal culture establish this diagnosis. A...

Dermatologic Therapy

Otc For Desonide Cream

Antifungal and anticandidal topical agents include miconazole (Micatin, Monistat-Derm), clotrimazole (Lotrimin, Mycelex), ciclopirox (Loprox), econazole (Spectazole), oxiconazole (Oxistat), naftifine (Naftin), ketoconazole (Nizoral), butenafine HCL (Mentax), and terbinafine (Lamisil). Sulfur (3 to 10 ) is an older but effective antifungal and anticandidal agent (see Table J9-3). 2. Tinactin powder, Micatin powder, Zeasorb-AF powder, or Desenex powder Indications Prevention and treatment of tinea pedis and tinea cruris Comment The above powders are available over the counter. a. Lotrimin, Mycelex, Loprox, Tinactin, Micatin, Monistat-Derm, Lamisil spray among others 30.0 Lotrimin cream, Mycelex cream, Spectazole cream, Loprox cream, Tinactin cream, Lamisil cream, Oxistat cream, Naftin cream, Nizoral cream, Mentax cream, and others (see Table l9z3.). Action Antifungal Tinea of scalp, body, crural area, nails griseofulvin and, for selected cases, ketoconazole (Nizoral) and itraconazole...

Localized pruritic dermatoses

Lichen Simplex Chronicus Scrotum

The initial cause (a bite, stasis dermatitis, contact dermatitis, seborrheic dermatitis, tinea cruris, psoriasis) may be very evanescent, but it is generally agreed that the chronicity of the lesion is due to the nervous habit of scratching. It is a rare patient who will not volunteer the information or admit, if questioned, that the itching is worse when he or she is upset, nervous, or tired. Why some people with a minor skin injury respond with the development of a lichenified patch of skin and others do not is possibly due to the personality of the patient.

Clinical evaluation

Ear Notching Mice

Live mice should be carefully examined for both behavioral and physical abnormalities. Most homozygous recessive mutations (m m) are available with heterozygotes (+ m) or wild-type (+ +) age- and sex-matched controls on the same genetic background (where m the mutant gene being studied, and + the normal, or wildtype, gene). Controls should be examined side by side with mutants as a basis for comparison. Familiarity with the normal phenotype of the background strain is essential in assessing the phenotypic variances of the mutant, and is also important in determining the presence of disease. Many infectious diseases in mice can present as behavioral abnormalities, such as circling or torticollis associated with middle ear infections. If these are evident in both mutant and control mice, it will be important to do infectious disease surveillance studies on the colony. Some mutations have clinical phenotypes that resemble infectious diseases, such as cutaneous scaling (possibly ringworm)...

Tinea of the Smooth Skin

Tinea Corp

The familiar ringworm of the skin is most common in children partially because of their intimacy with animals and other children. The lay public believes that most skin conditions are ringworm, and many physicians erroneously agree with them. Contact dermatitis No sharp border or central healing may be coexistent with ringworm worsened by overtreatment (see Chap 9). TREATMENT

Opportunistic and Iatrogenic Infections

During World War II, for example, ringworm symptoms disappeared in prisoners held under starvation conditions only to reappear on the restoration of a full diet. Tinea capitis (M. audouinii) in children, although persistent, resolves spontaneously at puberty for reasons not fully understood. Tinea pedis has been claimed as an occupational disease of workers who wear heavy boots. Candida infection is affected by pregnancy, and metabolic disorders such as diabetes are frequently associated with it. Iatrogenic mycoses have resulted from the use of antibacterials. Moreover, immuno-suppressive drugs used in organ transplantation have resulted in Candida endocarditis and my-cotic septicemia. Antimycotic therapy is now a routine supplementary practice.

Category C Severely Symptomatic

History should be obtained including a review of risk factors for HIV-1 exposure, drug and alcohol history, sexual history, travel history, and medical history. A complete baseline physical examination should be performed. Focused follow- up examinations are then recommended with attention directed to findings that indicate disease progression such as general appearance and weight loss, dermatological conditions (seborrheic dermatitis, folliculitis, dermatophytosis, Kaposi's sarcoma, bacillary angiomatosis), oral lesions (candidiasis, hairy leukoplakia, aphthous ulcers, periodontal disease), localized lymphadenopathy, splenomegaly and signs or symptoms of neurological neuropsychiatric involvement (mood or affective disorders, psychomotor slowing, abnormal eye movements, hyperreflexia, change of gait).

Fungus Infections Mycoses

Although some 200 fungi are established as pathogenic for humans, through the mid-nineteenth century only two human diseases caused by fungi were generally recognized. These were ringworm and thrush, known since Roman times. Two important additions came at the end of the century mycetoma of the foot and aspergillosis. Fungi were the first pathogenic microorganisms to be recognized. By the early nineteenth century, they had been shown to cause disease in plants and insects, and during the 1840s both ringworm and thrush were shown to be mycotic in origin. For a short period, fungi were blamed for many diseases (for example, cholera). But with recognition of the role played by bacteria Some fungi causing human disease show clear adaptations for the pathogenic state, whereas others do not. Probably none are dependent on a human or animal host for survival. Most are also pathogenic for animals, both domesticated and wild. Many fungi pathogenic for humans apparently belong to the normal...

Candidiasis Including Thrush

Reports of the diverse manifestations of candidiasis caused by Candida albicans and other Candida species have made a major contribution to the literature of medical mycology. As with ringworm, a stable taxonomic base was necessary to underpin research on this mycotic complex. It was mainly a group of yeast specialists working in the Netherlands who clarified the taxonomy the genus Candida was proposed in 1923. Thrush (oral candidiasis), an infection of mucous membranes (especially of the mouth) in infants, was mentioned in the Hippocratic corpus (400 B.C.) and later by Galen and others under the heading aphthae. Over the centuries, references to thrush in the young, as a feature of terminal illness, and as a vaginal infection continued. Candidiasis, like ringworm, was proved mycotic by three independent workers in the 1840s B. Langenbeck in Berlin, F. T. Berg in Stockholm, and Gruby in Paris. In 1844, J. H. Bennett in Edinburgh described what was probably C. albicans from the human...

Noninflammatory Type

The infection is most common in the posterior scalp region. Body ringworm from the scalp lesions is common, particularly on the neck and the shoulders. 1. Examine the scalp in any child who has body ringworm. ETIOLOGY. The noninflammatory type of scalp ringworm is caused most frequently by T. tonsurans and occasionally by M. canis and M. audouini. M. audouini and T. tonsurans are anthropophilic fungi (human-to-human passage only), whereas M. canis is a zoophilic fungus (animals are the original source, mainly kittens and puppies).

Inflammatory Type

Any scalp area is involved. Concurrent body ringworm infection is common. ETIOLOGY. The inflammatory type of scalp ringworm is most commonly caused by T. tonsurans and M. canis and rarely by M. audouini, M. gypseum, T. mentagrophytes, and T. verrucosum. T. tonsurans, M. audouini, and T. mentagrophytes are anthropophilic (coming from humans) M. canis and T. verrucosum are zoophilic (passed from infected animals) and M. gypseum is geophilic (coming from the soil).

Alopecia Areata

Folliculitis decalvans is a chronic folliculitis of unclear cause. It is characterized by recurrent, progressive pustules that gradually extend and destroy the hair follicle. Bacterial cultures may reveal Staphylococcus aureus but usually reveal nonpathogenic organisms. Fungal cultures should be done to exclude a scarring type of tinea capitis. Favus of the scalp caused by Trichophyton schoenleinii may mimic this disease. Therapy with oral antibiotics is occasionally effective.

Acquired atrophies

Tinea of the hair caused by Trichophyton tonsurans. These endothrix fungi do not produce fluorescent hairs under the Wood's light and may occur in adults. Chrysarobin. A reducing agent that hastens keratinization when it is applied to the skin. It can be incorporated into petrolatum or chloroform but must be used with great caution and in mild strength such as 0.25 to 3 . Mainly used in treatment of resistant cases of psoriasis and tinea cruris.

Antifungal Drugs

The most widespread are dermatophytic fungal infections, which include skin, hair, and nails. Most infections can be cured by using topical drugs, such as tolnaftate, undecylenic acid, haloprogin, clotrimazole, and miconazole. Griseofulvin is used orally for deep infections, in particular for infections of the nail bed. Currently, ketoconazole is widely used for treating chronic dermatophytes. Systemic fungal infections are very rare, although they do present a serious problem since they are naturally chronic and difficult to diagnose and treat. So, antifungal drugs are medications used to treat fungal infections such as athlete's foot, ringworm, and candidia-sis (thrush) as well as serious systemic infections like cryptococcal meningitis. Antifungals work by exploiting differences between mammalian and fungal cells to kill the fungal organism and without significantly harming the host.

Treatment

Antifungal cream 15.0 Miconazole (Monistat-Derm, Micatin), clotrimazole (Lotrimin, Mycelex), econazole (Spectazole), ketoconazole (Nizoral), ciclopirox (Loprox), oxiconazole (Oxistat), naftifine (Naftin), terbenifine (Lamisil), sulconazole (Exelderm), butenafine (Mentax), and tolnaftate (Tinactin) (see Xab e,19z3 for detailed list of antifungal agents). Sig Apply b.i.d. locally to feet after soaking. Sig Apply b.i.d. locally for long term. A favorite medication of mine for tinea of the feet and body is Sulfur, ppt. 5 Hydrocortisone 1 Antifungal cream q.s. 30.0 2. The previously described salve is continued or the following salves are substituted A combination of an antifungal cream and a corticosteroid, as in Lotrisone cream, is beneficial. Antifungal solutions, such as Lotrimin or Mycelex or Loprox are quite effective. Apply a few drops on affected skin and rub in. 3. Antifungal powder q.s. 45.0 Zeasorb AF, Micatin, Tinactin, Desenex, Enzactin, and Sopronal

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