Two Cases for Diagnosis: Trichophytosis (T. Rubrum) Treated with Griseofulvin. Presented by George M. Lewis, M.D.
The patient is a 25-year-old dentist who, for the past thirteen years, had noted scaly plaques of both palms and soles, and discoloration and friability of several nails. There had been no seasonal variation. There was some pruritis and minimal sweating in these areas. Many varieties of local applications had been used with moderate success.Past history: Good general health; no allergies; no other skin disease.Physical examination: Both palms reveal well-defined plaques of erythema and fine scaling. The plantar aspects of both feet are affected by a diffuse, erythematous and scaly eruption. All the nails of the right hand; the fifth fingernail of the left hand; the first, third, fourth, and fifth nails of the right foot, and the first, second, third, and fifth nails of the left foot revealed yellowish discoloration, opacity,
NEW YORK DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1960;81(1):164–168. doi:10.1001/archderm.1960.03730010168025