diminished resistance. Folliculitis of legs
is called Bockhart's impetigo. Folliculitis in the face is
called sycosis barbae.
Topical antibiotics: Penicillin, sulpha
or synthetic penicillin. Recurrence is due to periodic discharge
from carrier sites. Antibiotic therapy should be continued
till the carrier stage is controlled.
(v) Fungal infections
These can be divided into superficial and
deep fungi. The superficial fungi are either keratinolytic
(a) Taenia versicolar: This is a non-keratinolytic
fungus. They are seen as hypo-pigmented scaly lesions,' called
achromic type. Occasionally seen as coloured lesions called
chromic type. Occurs in all age groups. It is not contagious.
Usually asymptomatic but causes cosmetic disfigurement. Associated
with diabetes melltius, Cushings syndrome and steroid therapy.
(b) Taenia corporis: It is akeratinolytic
fungus annular, scaly lesions with a clear border. There is
Treatment: Whitfield ointment. 1%
Miconazole. Nitrate. Systemic griseofulvin 125 mgms, twice
daily infection of the scalp should be for 2 months. Nail.
T. Unguinum 500 mgms/day after food for 6 months.
(a) Moniliasis: Lesions-Monilial paronychia,
granuloma, oral thrush on the dorsal surface of the tongue,
cheilitis, monilial balanoposthitis Occur in 99% of diabetics.
In female, monilial vulvovaginitis or pruritus vulva Occur.
1% G. V. Paint or 1% Miconazole nitrate.
Nystatin tablets oral or vaginal. In resistant cases Ketoconazole
200 mgms 1 tablet daily for 3 to 4 weeks. Ketoconazole can
be used in those who are sensitive to griseofulvin in any
deep fungal infection.
(a) Psoriasis (b) Lichen planus.
Psoriasis: Erythematous scaly lesions
in the extensor surface, symmetrical in distribution, recurrent
in nature. Exacerbation seen in winter. Itching may be mild
or moderate. May occur in the form of exfoliative psoriasis,
pustular lesions, psoriasis with arthropathy and psoriasis
of the nails. Steroids are used externally or internally.
Mostly occur as plaques on the scalp or limbs.
Salicylic ointment, Coal tar ointment and
antihistaminics. PUV A is now used. Psoralin-20 mgs longwave
UV rays - This has antimitotic effect.
Lichen planus: It is self-limiting
disease, characterised by flat, blue to violet coloured
occurring on the flexor surface of the forearm and extensor
surfaces of the legs. The oral and genital mucosae are also
involved. Itching is very severe. Topical salicylic acid ointment
or coal tar ointment. Oral antihistaminics.
In extensive lesions involving scalp, steroids
Pityriasis roseae: Round or oval lesions
occur in the trunk, the upper limbs upto elbow and in the
lower limbs upto knee. Lesions disappear on their own within