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LETTER TO EDITOR
Year : 1997  |  Volume : 63  |  Issue : 6  |  Page : 382-383

Tinea versicolor localized to dorsal surface of hands and feet - A rare presentation in childhood




Correspondence Address:
Puneet Bhargava


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Source of Support: None, Conflict of Interest: None


PMID: 20944386

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How to cite this article:
Bhargava P, Kuldeep C M, Mathur N K. Tinea versicolor localized to dorsal surface of hands and feet - A rare presentation in childhood. Indian J Dermatol Venereol Leprol 1997;63:382-3

How to cite this URL:
Bhargava P, Kuldeep C M, Mathur N K. Tinea versicolor localized to dorsal surface of hands and feet - A rare presentation in childhood. Indian J Dermatol Venereol Leprol [serial online] 1997 [cited 2019 Sep 16];63:382-3. Available from: http://www.ijdvl.com/text.asp?1997/63/6/382/4624


To the Editor

Tinea versicolor is a chronic superficial mycosis caused by Malassezia furfur, a lipo­philic yeast which is a saprophyte of the nor­mal skin in 92% of people. [1] Factors respon­sible for the overgrowth of the yeast and conversion to a predominantly parasitic mycelial morphology associated with clini­cal disease are a warm and humid environ­ment, genetically inherited predisposition, occurrence near puberty, immunosuppression, malnutrition, preg­nancy, Cushing's disease, use of oral contra­ceptives, excessive oily skin and hyperhidrosis [2],[3]

Recently a 6-year-old healthy male child was referred to us with asymptomatic hypopigmented scaly macules of 3 weeks duration, symmetrically placed over dorsal surface of hands and feet. Relevant family history was negative. General physical and systemic examination revealed no other ab­normalities. KOH mount with methylene blue stain from the lesions showed typical "meatball and spaghetti" appearance of yeast and hyphae while other laboratory investi­gations showed no evidence of immunosup­pression.

Patient was treated with twice daily local application of ciclopiroxolamine solution which provided clinical and mycological cure in 4 weeks.

The observations in this child have left many unanswered questions regarding pathogen­esis of tinea versicolor. It is interesting to note that sebaceous glands are only sparsely lo­cated on the dorsal surface of hands and feet. [4] Also sebaceous activity is at its minimum in early childhood. [4] Absence of family history in this child excludes a genetic predisposi­tion for tinea versicolor. This child also showed no evidence of malnutrition or non­specific immunosuppression. These observa­tions suggest that there may be other factors in the pathogenesis of tinea versicolor which have to be looked for.

 
  References Top

1.Soto L D, Tomoka T H, Memije E V, et al. Pig mentary Problems in the Tropics in : Dermato logic Clinics, Edited by Thiers B H, W B. Saunders, Philadelphia 1994; 12: 777-784.  Back to cited text no. 1    
2.Martin A G, Kobayashi G S. Yeast infections : candidiasis, tinea versicolor, in : Dermatology in General Medicine 4th edn, Edited by Fitzpatrick T B, Eisen AZ, Wolff K, et al, Mc Graw - Hill Inc, New york 1993; 2452-2467.  Back to cited text no. 2    
3.Shrum JP, Millikan L E, Bataineh O. Superficial fungal infections in the tropics, in : Dermatologic Clinics Edited by Thiers B H, W.B. Saunders Comp, Philadelphia 1994; 12: 687-693.  Back to cited text no. 3    
4.Ebling FJG, Cunliffe WJ : The sebaceous glands in : Textbook of Dermatology 4th edn, Edited by Rook A, Wilkinson DS, Ebling FJG et al, Oxford university press, Bombay 1987: 1997-1936.  Back to cited text no. 4    




 

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