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Tinea Types: Common Dermatophyte Infections Tinea Manuum
For years, a 39-year-old man had an eruption on his hand, which seemed to becontrolled with topical corticosteroids. The patient was a rancher.
For years, a 39-year-old man had an eruption on his hand, which seemed to becontrolled with topical corticosteroids. The patient was a rancher.The lesion's well-defined annular, scaly border raised suspicion of tineamanuum, which was confirmed by a potassium hydroxide evaluation. His occupationsuggested that livestock were the likely source of the infection. Chronichand eczema and psoriasis had also been considered in the differential. Thepatient's use of corticosteroids had exacerbated the infection and made it moredifficult to diagnose and treat.A 2-week course of oral terbinafine, 250 mg/d, plus a topical imidazole usedfor 1 month resolved the infection.
No Rx Required for COVID-19 Vaccination But ACIP Calls for Better Informed Consent Process
September 22nd 2025The ACIP on September 19 narrowly voted against requiring a prescription to get the shot but urged more detailed discussion of vaccine risks during shared decision making conversations.
