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.


Step 2: Order Relevant Investigations

1. Full Blood Count (FBC)

check

WBC: 9,600 / mm3

N: 50% L: 30% E: 9%

Hb: 12.7g/dL

Platelets: 210,000 /mm3

2. KOH Test

check

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

3. Culture of skin and nail samples

clear

Cultures with the sabouraud dextrose agar medium show dermatophyte growth.

4. Allergen Specific IgE

clear

The results will be available in several days.

Step 3: Select Appropriate Management

1. Topical Antifungals

check

2. Long-term Topical Steroids

clear

3. Phototherapy

clear

4. Oral Antifungals

check