Tinea Pedis

Athletic

Step 1: View clinicals

A 12 year old boy presents with a history of a scaling, itchy rash on both feet for 3 months. Except for occasional bouts of allergic rhinitis and conjunctivitis, his medical history is unremarkable. He is a member of the school track team. His family history is significant for psoriasis in his mother. He is not on any medications.


Step 2: Order all relevant investigations

Full Blood Count (FBC)

WBC: 9,600 / mm3 N: 50% L: 30% E: 9% Hb: 12.7g/dL Platelets: 210,000 /mm3

KOH Test

Microscopic examination of KOH preparations of skin and nail scrapings reveals branching septate hyphae.

Culture of skin and nail samples

Cultures with the sabouraud dextrose agar medium show dermatophyte growth.

Allergen Specific IgE

The results will be available in several days.


Step 3: Select appropriate management

Topical Antifungals
Long-term Topical Steroids
Phototherapy
Oral Antifungals


Score: ★★☆