Dear Doctor
I have this irritation on both my hands (top) at first I only had it on my left hand and recently I got it on my right hand..it was itchy at first (for a few minutes)
hope you can help me figure out what it is and whats the best treatment. You cant really see it as good in pictures.
Dear Patient
Your symptoms are suggestive of a condition known as Tinea Manuum which is caused by a fungal infection.
A diagnosis of Tinea Manuum can be confirmed by doing the KOH test. In this procedure the skin lesions are gently and painlessly scraped with a blade. The skin scrapings are sent to the lab where they are mixed with potassium hydroxide (KOH) and examined under the microscope for fungal elements.
Once the diagnosis is confirmed, the treatment for Tinea Manuum includes:
Antifungal creams
Antifungal creams that can be used to treat Tinea Manuum include:
- 1% Clotrimazole cream
- Terbinafine cream
- Miconazole cream
These creams are usually applied for 4 weeks.
Systemic Treatment
Systemic medications or oral medications taken by mouth to treat Tinea Manuum include:
- Terbinafine (Lamisil) 250 mg once a day for 1 month
- Itraconazole (Sporanox) 200 mg once a day for 7 days
- Ketoconazole 200 mg twice a day for 10 days
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