Rubrophytia (Rubromycosis)

Article:

Rubrophytosis (rubromycosis) is the most common fungal disease of the feet. It mainly affects the feet, and can spread to the hands, large folds, especially the inguinal-femoral folds, and other areas of the skin, often involving vellus and sometimes long hair.

Etiology and pathogenesis

Pathogen - Tr. rubrum. It affects the epidermis, dermis, and sometimes subcutaneous fatty tissue. It can spread not only by continuation, but also by lymphohematogenous route. The source of infection is a sick person. The routes of transmission are the same as for epidermophytosis.

Predisposing factors: increased sweating, microtraumas, circulatory disorders of the lower extremities, general pathological diseases, taking antibiotics, corticosteroids, cytostatics.

Clinical picture

Mostly adults are affected. Classic form: hyperemia and dryness of the soles and palms, thickening of the stratum corneum, mealy peeling along the skin grooves.

Squamous, dyshidrotic and intertriginous forms are also possible, characterized by damage to the dorsum of the feet with plaques, blisters, pustules, crusts, and itching.

On the hands the manifestations are less intense. An acute form with general symptoms is possible. Outside the feet and hands there are rounded plaques with scales. In the folds there is pronounced infiltration, excoriation, itching.

Follicular nodular forms are possible. The disease can mimic other dermatoses. Generalized forms with multiple foci have been described.

Treatment

Inside - griseofulvin, nizoral. Locally - antifungal agents. In severe forms - inpatient treatment.

The prognosis with proper treatment is favorable.

Prevention

Personal prevention - prevention of sweating, treatment of microtraumas, improvement of blood circulation in the legs. Public - compliance with sanitary and hygienic standards in public places.