Page 99 - LECTURE NOTES

b) Clinical manifestation

Tinea ungum of toe nails is usually associated with long standing fungal infection of the
feet.

- Nails thicken, crumble easily mostly starting of distal end of nail, and lack luster and
the nail color changes to brown and the whole nail may be destroyed usually started at

the distal end of the nail.

c) Management and nursing intervention

1. Grisofulvin is usually prescribed orally 10-15 Mg/Kg twice daily from 6 months to
years ( until normal nail grows fully)

2. If the causative organism is candidal infection the patient will be treated with

topical lotion or cream like amphotericin – B lotion, miconazole,clotrimazole,and
nystatin

3. Give daily nails care

4.4.8Tinea versicolor (pityriasis versicolor)
It is a mild, superficial infection of the skin, usually of the trunk.

a) Causative organism
The disease is caused by yeast, pityrosporum orbiculare which is a normal flora of skin,

(pityrosporum orbiculare) and which accounts for the high recurrence rate after
treatment and initial cure

b) Clinical finding (sign and symptoms)
ª Lesion are asymptomatic, but a few patents note mild itching

ª The lesions are various types color hypo pigmented or with, whitish or brown

scales macules on surface that vary 4-5 mm in diameter
ª The lesions initially do not look scaly, but powdery scales may be readily

obtained by scraping the area

ª Lesion may appear on the trunk, upper arms, neck, face and groin

93