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Ringworm of the beard (tinea barbae)
Diagnosis
Diagnosis depends on finding the fungus in infected. Hairs by microscopically examination. The
preparation should be warmed or allowed to stand for half an hour before
examination. The differential diagnosis is from staphylococcal sycosis impetigo, pustular acne,iodide or bromide
eruptions and syphitides. Staphylococcal sycosis commonly affects the upper 1ip
and never forms the purple lumps so characteristic of tinea sycosis. It may be
difficult to find infected hairs in the suppurative type of ringworm as those
most heavily infected often fall out as a result of the inflammation.
Treatment
Griseofulvin is given
by mouth in routine doses, treatment being necessary for about 4 weeks. Locally
the suppurative type is treated with wet gauze compresses of 1: 10,000 aqueous
hydrarg. perchlor. Or lead lotion. Systemic antibiotics are frequently needed
to combat the secondary pyogenic infection. Most of the infected hairs will be
shed owing to the severity of the inflammation, but thorough daily manual
epilation of all loose hairs will hasten recovery. When pustulation and crust,
formation have ceased, a fungicidal ointment should be used twice daily.
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