Other presentations include lesions that form as incomplete circles or crusted lesions, he said. The diagnosis of tinea corporis is made from fungal cultures and KOH examination of the red, scaly borders. Majocchi's granuloma is seen as multiple follicular pustules on the skin, with involvement of one or both legs. It is often misdiagnosed as bacterial folliculitis and occurs in immunodeficient children in whom dermatophytes invade the follicular channels. Tinea pedis, onychomycosis Tinea pedis is usually seen in adolescent males and involves the instep.
Blisters are often present.
Classic adult tinea pedis is rarely seen in children, Weston said. The responsible organisms for childhood tinea pedis include Trichophyton rubrum and Trichophyton mentagrophytes. Onychomycosis is unusual in children. When it occurs, often just one or two nails are involved, which thicken and turn yellow. Management made easy Griseofulvin is the treatment of choice for dermatophyte infections that involve hair or nails, Weston believes.