clinical features

Last reviewed 01/2018

Possible features are dependent on the site, organism involved and the patient’s immune response::

  • athlete's foot (tinea pedis):
    • this infection usually affects the toe webs, sole or lateral aspects of the foot with erythematous, soggy scaling. The lesion is often very itchy (1)
    • seen in around 70% of adults around the world (2)
  • ringworm of the skin (tinea corporis):
    • itchy erythematous rash.
    • rash is usually on the groins or axillae
    • presents with one or more scaly papules. These papules enlarge and form ring-shaped scaly lesions with a clear central portion (1).
  • groin infection (tinea cruris or 'jock itch'):
    • normally seen on  the groin or perineal area (most commonly on the medial thighs)
    • penis and scrotum involvement is rare
    • seen as thin erythematous plaques with definite scaly borders (1)
  • tinea infection of the nails(tinea unguium):
    • yellow discolouration of the nails. There is associated crumbling and subungual hyperkeratosis.
    • often seen together with tinea pedis
    • toenails are affected more often than fingernails (1)
  • scalp infections (tinea capitis):
    • pustules, boggy swelling, kerion, scarring alopecia.
    • fragile broken hairs are typically seen
    • this infection may occur in epidemics in public baths and swimming pools, and schools.
    • dermatophyte scalp infection most frequently occur in children (in males more than in females) (1)