Skin diseases caused by filamentous fungi: Causes, symptoms and treatment

This is an automatically translated article.

The article was professionally consulted by Specialist Doctor I Tran Van Sang - Dermatologist - Department of Medical Examination & Internal Medicine - Vinmec Danang International General Hospital.
Mycelia is one of the diseases of skin diseases. Although the disease is not life-threatening, it causes discomfort, itching, and affects daily life. The causes of itching, if not treated properly, will make the fungus grow stronger, causing more itching.

1. What is filamentous fungal skin disease?

Dermatophytosis is a very common disease, especially in countries with a hot and humid tropical climate like Vietnam, this is a very favorable environment for fungal strains to grow, including filamentous fungi.
Skin diseases caused by filamentous fungi, although not life-threatening, often have functional symptoms that make the sufferer very itchy, if not treated early or treated incorrectly, fungal lesions can spread widely and cause itching. , skin damage.
There are 3 common filamentous fungi that cause disease in humans, including: Trichophyton, Epidermophyton, Microsporum.

Ngứa là triệu chứng phổ biến của bệnh da do nấm sợi
Ngứa là triệu chứng phổ biến của bệnh da do nấm sợi

2. Causes of skin diseases caused by filamentous fungi?

Strains of filamentous fungi can infect from a variety of sources, but mainly from soil sources (geophilic organisms), from animals (zoophilic) or from diseased people (anthropophilic).
Favorable conditions that cause filamentous fungi to form and grow causing skin diseases:
Poor living conditions, living in damp rooms, living in groups, sleeping together and sharing personal items such as clothes. The weather changes, it is humid, the climate is hot and humid (usually in spring in the northern region of Vietnam), the body sweats, which changes the pH of the skin. Skin is scratched, dry skin, disordered stratum corneum structure. Endocrine disorders, immunosuppression, long-term antibiotic use, immunosuppressive drugs.

Rối loạn nội tiết là nguyên nhân gây bệnh da do nấm sợi
Rối loạn nội tiết là nguyên nhân gây bệnh da do nấm sợi

3. Symptoms of skin disease caused by filamentous fungi

Skin diseases caused by filamentous fungi usually appear in certain areas of the body:

3.1 Mushrooms on the feet

This disease usually occurs in people who wear shoes a lot. Common manifestations:
Scaling: The soles of the feet are scaly in small clusters, then spread to the soles of the feet. Leave for a while if not treated they will spread to the other leg. Little itching. Interstitial inflammation: inflammation in the toes that causes the toes to be red, cracked, watery, itchy and painful for a long time. Leech nest: Vesicles are located deep under the skin surface, acne is difficult to break. When the blisters are broken, the skin surface will be punctured, itchy and painful. Nail inflammation: Nails appear white spots, white lines from the free or lateral margins, dirty yellow, easy to pus. The main cause is Trichophyton rubrum and Trichophyton mentagrophytes. Some cases may be caused by the fungus Epidermophyton floccosum.

3.2 Mushrooms in the groin

The fungus in the groin appears usually caused by the fungus Epidermophyton inguinale, Trichophyton rubrum. Common manifestations are:
The damaged skin appears red dots, with small scales, gradually they spread into round or oval patches, the skin surface is red, the edges are slightly raised, on the edges there are numerous blisters and scabs. The patches are linked together into large, arc-shaped patches, the middle is pale, very itchy.

3.3 Mushrooms in the face area

Facial fungus is usually caused by the fungi T. rubrum, T. mentagrophytes, M. canis. Common manifestations when infected are:
The damaged skin area is red, causing burning, the size of the fungal area in the skin is from 1-5 cm. The margin is slightly raised above the surface of the skin, sometimes not clear, scaly itchy

3.4 Mushrooms of my body

Any type of filamentous fungus can cause mycosis. The most common causes are fungi: T. rubrum, T. mentagrophytes, M. canis and T. tonsurans.
Common manifestations:
Appearance of blisters, growing in clusters forming a circle or an arc. Lesions tend to spread to the surrounding areas, itching a lot. Fungal infections can be localized or diffuse, depending on the characteristics.

3.5 Beard fungus

Beard fungal disease is uncommon, often appearing in farmers who often have a lot of contact with animals. Strawberry fungal disease has 2 recognized forms:
Hair morphology: caused by Violaceum, rubrum fungi. Strawberry fibers are broken and scaly or there are cases where mulberry fibers are not broken, exist but dry, do not peel, when plucked at the root of the beard, it is still normal.

Bệnh da do nấm sợi thường xuất hiện ở các vùng nhất định trên cơ thể
Bệnh da do nấm sợi thường xuất hiện ở các vùng nhất định trên cơ thể

4. Treatment of skin diseases caused by filamentous fungi

Currently, there are many types of topical antifungal drugs to treat skin diseases caused by filamentous fungi, products commonly used by doctors to treat such as: Ciclopiroxolamine, Ketoconazole, Terbinafin, Clotrimazol.
People with the disease will apply to the affected area 1-2 times / day. Duration of treatment is 3 to 4 weeks. In addition to applying medication for treatment, people with the disease need to improve and change their living habits to avoid further infections caused by filamentous fungi such as: clean personal hygiene, avoid wearing wet clothes, wear breathable shoes, Avoid wearing shoes (if you have a fungal infection on your feet). As regular clothes or drying clothes in the sun, especially underwear. Avoid direct contact with sources of infection from animals such as dogs and cats. Do not share clothing, blankets, and other personal items with an infected person. Avoid using chemical products for cleaning such as bathing with soap and other cleaning agents. During the treatment period, it is recommended to shower only with clean water. Clean the house, wash the blankets. It is necessary to visit reputable medical facilities and dermatology clinics for specific treatment instructions from the doctor. The main complication of skin diseases caused by filamentous fungi is causing the patient to itch, leading to scratching a lot. In general, skin disease caused by filamentous fungi is a disease that is not too dangerous but uncomfortable, so it is still necessary to pay attention and go to the doctor early for timely treatment.
Clinical Dermatology Specialist Vinmec International General Hospital undertakes diagnosis, treatment, prevention and rehabilitation of diseases in the specialty of Leprosy and Dermatology. With a team of leading medical doctors, the system With a system of modern technological equipment, the hospital provides comprehensive and professional medical examination, consultation and treatment services; civilized, polite, safe and sterile medical examination and treatment space.

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