| Inflammatory tinea pedis/manuum masquerading as bacterial cellulitis. | |
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MedLine Citation:
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PMID: 12413346 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Tinea pedis and tinea manuum in children are more common than previously recognized. Clinical presentations of dermatophyte infections may vary in children and may be difficult to diagnose. OBJECTIVE: To show the necessity of potassium hydroxide preparations and/or fungal cultures in assessing suspicious cases of cellulitis in children who may have dermatophyte infections. PATIENTS: We describe 4 children with inflammatory tinea pedis or tinea manuum who were initially misdiagnosed as having bacterial cellulitis. INTERVENTION: A potassium hydroxide examination was performed on 3 patients. Fungal cultures were performed on 2 patients. RESULTS: Inflammatory/bullous dermatophyte infections were detected by potassium hydroxide examination in all 4 patients and all 4 children successfully responded to topical antifungal therapy. CONCLUSIONS: These cases demonstrate that inflammatory tinnea pedis/manuum can masquerade as cellulitis in children. Early potassium hydroxide examination can allow appropriate antifungal treatment to be initiated before fungal culture results are finalized. |
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Authors:
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Susan M Sweeney; Karen Wiss; Susan Bayliss Mallory |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of pediatrics & adolescent medicine Volume: 156 ISSN: 1072-4710 ISO Abbreviation: Arch Pediatr Adolesc Med Publication Date: 2002 Nov |
Date Detail:
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Created Date: 2002-11-04 Completed Date: 2002-12-09 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9422751 Medline TA: Arch Pediatr Adolesc Med Country: United States |
Other Details:
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Languages: eng Pagination: 1149-52 Citation Subset: AIM; IM |
Affiliation:
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Department of Medicine, Division of Dermatology, University of Massachusetts Medical School, Worchester 01605, USA. sweeneys@ummhc.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cellulitis
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diagnosis* Child Diagnosis, Differential Female Hand Dermatoses / diagnosis* Humans Hydroxides / diagnostic use* Impetigo / diagnosis* Male Mycology / methods* Potassium Compounds / diagnostic use* Tinea / diagnosis* Tinea Pedis / diagnosis* |
| Chemical | |
Reg. No./Substance:
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0/Hydroxides; 0/Potassium Compounds; 1310-58-3/potassium hydroxide |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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