Athletic
Skin & Subcutaneous Tissue
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.
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 Relevant Investigations
1. Full Blood Count (FBC)
WBC: 9,600 / mm3
N: 50% L: 30% E: 9%
Hb: 12.7g/dL
Platelets: 210,000 /mm3
2. KOH Test
Microscopic examination of KOH preparations of skin and nail scrapings reveals branching septate hyphae.
3. Culture of skin and nail samples
Cultures with the sabouraud dextrose agar medium show dermatophyte growth.
4. Allergen Specific IgE
The results will be available in several days.
1. Full Blood Count (FBC)
WBC: 9,600 / mm3
N: 50% L: 30% E: 9%
Hb: 12.7g/dL
Platelets: 210,000 /mm3
2. KOH Test
Microscopic examination of KOH preparations of skin and nail scrapings reveals branching septate hyphae.
3. Culture of skin and nail samples
Cultures with the sabouraud dextrose agar medium show dermatophyte growth.
4. Allergen Specific IgE
The results will be available in several days.
Step 3: Select Appropriate Management
1. Topical Antifungals
2. Long-term Topical Steroids
3. Phototherapy
4. Oral Antifungals
1. Topical Antifungals
2. Long-term Topical Steroids
3. Phototherapy
4. Oral Antifungals