Symptoms of ringworm of the hands

  Tinea capitis is an epidermophytic infection involving the smooth skin of the interphalangeal, palmar, and palmar side of the hand, caused primarily by Trichophyton rubrum, Trichophyton spp., Microsporum giganteum, and Flocculina epidermidis infections. Clinically, tinea cruris presents with three main types of clinical symptoms: blistering scales, hyperkeratosis, and macerated erosions due to differences in the course of the disease, the site of involvement, and the skin environment of the patient’s hands.  This type of ringworm is usually found on the tiger’s mouth, palm, and side of the fingers, where the keratin layer is moderately thick and prone to blistering due to fungal infection.  Hyperkeratotic tinea cruris occurs on the palm surface and the flexor side of the palm, where the keratin layer is relatively thickest in the hand. During the dry autumn and winter seasons, excessive keratin thickening can lead to decreased epidermal elasticity and can easily lead to bleeding and pain due to fissures.  This can lead to the development of vesicles and exudates on top of the vesicles.  In addition, because tinea cruris mostly comes as a secondary infection after scratching from tinea pedis, clinically tinea cruris often occurs bilaterally, whereas tinea cruris is most common with a unilateral onset.