Tinea manuum bullous

　　Bullous tinea manuum is caused by pathogenic filamentous fungi. The disease has an infectious tendency, and its occurrence is closely related to close contact with the hands and feet of patients and their items, such as slippers, bathtubs, and foot wipes.

　　　Protecting the affected area is also a key measure to prevent complications and sequelae. Tinea manuum bullousIt is usually very itchy. Patients with severe illness may also be very painful. It is forbidden to scratch at will. That not only stimulates the nerve endings but also leads to a vicious cycle of scratching more and more itchy. and it is easy to spread the infection. At the same time, it is easy to attract complications (scratching the affected area can easily cause bacterial infection. That is very likely to suppurate. The wound after the suppurative wound heals usually leaves a scar).

　　　 When the skin at the site of the bullous tinea manuum lesion shows symptoms such as maceration, erosion, blisters, or suppuration, it is easy to develop secondary bacterial infection, causing acute lymphangitis. Acute lymphangitis is an acute inflammation caused by pathogenic bacteria entering the lymphatics from damaged skin.

　　Tinea manuum bullous often occurs in summer, with symptoms of rice grain-sized, deep-seated blisters between the fingers and the edge of the palm, scattered or grouped. The vesicle wall is thick, the content is clear, and it is not easy to break. After a few days, it dries and peels off, fusing into multicellular blisters. After peeling off the vesicle wall, a honeycomb-like base and a bright red erosive surface can be seen, with severe itching.

　　The onset of Tinea manuum bullous is usually unilateral, starting from a certain part of the palm, especially the palm center, the palmar surface of the index and middle fingers, the sides and roots. The symptoms of this type of tinea manuum begin as pinpoint blisters, with thick walls and a shiny appearance, containing clear liquid. The blisters gather in groups or disperse, causing itching. After the blisters dry, scales fall off and gradually spread outward to form annular or multicircular lesions, with clear edges, a chronic course, and lasting for many years until affecting the entire palm and spreading to the back of the hand and nails, even to the opposite palm. Sometimes, blisters can lead to secondary infection and form pustules.

　　1, pay attention to eating less spicy and刺激性 food in daily life.

　　2, keep a happy mood, learn to self-regulate, and live a happy life.

　　3, quit bad habits such as smoking, drinking, and staying up late.

　　4, drink more water, eat more vegetables and fruits, develop the habit of defecating every day.

　　Attention should be paid to personal hygiene in daily life, do not wear other people's shoes and socks, do not share towels with others, eat less spicy food, hand fungus patients should try not to use soap to wash their hands, do not contact laundry powder. If there is really no way, you can wear gloves. For patients with both hand and foot tinea, both should be treated simultaneously to prevent secondary infection. The treatment of tinea manuum lies in persistence in medication. After the tinea manuum is cured, medication should be continued for a period of time to effectively prevent the recurrence of tinea manuum.

　　Tinea manuum bullous requires dermatomycological examination, including direct microscopic examination or culture examination of fungi, and a positive result can be diagnosed.

　　Scrape off scales and pick blisters, add 10% KOH for microscopic examination.可见分枝分隔的菌丝 can be seen, but the positive rate of direct microscopic examination for hyperkeratotic tinea manuum is low, and repeated examination is required. Take scales or blister fluid and inoculate them on Sabouraud agar, incubate at a constant temperature, and there will be colony growth within 2 weeks. The species can be identified according to the colony morphology and microscopic characteristics.

　　Firstly, therapeutic diet for tinea manuum pustulosa (the following information is for reference only, detailed consultation with a doctor is required)

　　①Leek Flaxseed: 100 grams of chopped leek, 50 grams of flaxseed kernel (shell removed), mix well, and apply to the affected area of hand tinea with hot rice.

　　②Stewed Yellow Croaker Liver: 100 grams of yellow croaker liver, add appropriate amounts of soy sauce, scallion, ginger, sugar, and a small amount of water, bring to a boil, then simmer over low heat for half an hour, and it can be eaten when the water is dry.

　　③皂荚猪肚：Use a pork stomach of about 200 grams, add 5 grams of soap bean, and cook. Or use a pigeon of 250 grams, remove the intestines, add 5 grams of soap bean into the pigeon's belly, and cook together.

　　④ Portulaca oleracea juice: 200 grams of fresh Portulaca oleracea, wash, crush, and squeeze juice. Mix equal amounts of vinegar and apply to the affected area of hand tinea.

　　Secondly, what foods are good for hand tinea pustulosa?

　　1. Hand tinea patients should drink 3 liters of water a day (this must be done), and can eat rice and coarse grains, but the vegetables should be green vegetables, with green vegetables in every meal, and other vegetables as supplements.

　　2. Suitable for cooling blood and detoxifying foods. Mung beans, glutinous rice, cucumbers, bitter melon, portulaca oleracea, green tea, etc.

　　Thirdly, what foods should not be eaten for tinea manuum pustulosa?

　　Patients with tinea manuum should not eat the following acidic foods: oils, pickled, cola, hamburgers, milk, sugar, nuts, beans, meat dishes, etc., as they can worsen the condition of hand tinea.

　　For tinea manuum pustulosa, external application of miconazole, clotrimazole cream, compound benzoic acid liniment, compound resorcinol liniment, and other preparations can be used; after the skin lesions subside, medication should be continued for at least 2 weeks; the frequency of hand medication should be appropriately increased, especially after washing hands, adding ointment or cream, and for those with long course of disease or poor local treatment, oral griseofulvin, ketoconazole, and others can be taken; or fluconazole 50% mg/day or 150 mg/week, taken once a day for 2-4 weeks; itraconazole 200 mg/day, taken once a day for a week;疗霉舒250mg/day, taken for 2 weeks. At the same time, Zangling Cream can be used to apply to the affected area, and no cleaning is required after the application, as the skin automatically absorbs it.