Erythrasma

Figure 4.11 A: Erythrasma B: Erythrasma (Wood’s light) C: Pitted keratolysis (Courtesy of Dr. Paul Getz) D: Pitted keratolysis (Courtesy of Dr. Paul Getz)
Figure 4.11
A: Erythrasma
B: Erythrasma (Wood’s light)
C: Pitted keratolysis
(Courtesy of Dr. Paul Getz)
D: Pitted keratolysis
(Courtesy of Dr. Paul Getz)
(Figure 4.11A, B)
  • Superficial infection in occluded intertriginous areas due to C. minutissimum
  • Presents as well-demarcated red-brown macules/patches with fine scale and wrinkling in intertriginous areas; interdigital maceration and scaling between toes
  • Most common bacterial infection of the foot
  • Wood’s lamp: bright coral-red fluorescence due to porphyrin production (coproporphyrin III)
  • Treatment: topical antibiotic or antifungal (clindamycin, erythromycin, imidazole) or oral erythromycin × 5 days