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August 1961

Two Clinical Variations in Epidermophyton Infections

Author Affiliations


From the Department of Dermatology (Clarence S. Livingood, M.D., Chairman), Henry Ford Hospital.

Arch Dermatol. 1961;84(2):320-321. doi:10.1001/archderm.1961.01580140144022

Recently, 2 patients presenting unusual clinical manifestations of Epidermophyton floccosum infections have been observed.

Case 1 is a 40-year-old white man who had been bothered with "athlete's feet" for more than 8 years. On physical examination there was moderate hyperkeratosis and scaling on the soles of both feet (Fig. 1), involving the heels, lateral soles, and over the heads of the metatarsals. Minimal scaling and maceration between the fourth and fifth toes bilaterally was noted. This moccasintype distribution pattern of tinea pedis is usually considered diagnostic of a Trichophyton rubrum infection.

Case 2 is a 26-year-old Chinese physician who presented himself because of a dystrophic fingernail. On examination the third right fingernail (Fig. 2) was markedly dystrophic with irregularities of the nail plate and accumulations of subunguial debris. The distal two-thirds of the nail plate were opaque, friable, and lusterless. The soles of the feet were involved in a similar

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