Epidermophytids as a Clinical Conception

A Clinical Note on Fungus Infection of the Skin of the Feet (Abbreviated)

“…Cases of simple dyshidrosis are often regarded as mycotic. In this condition non-inflamed, deep, uniform sago-grain-like vesicles spring up at once symmetrically in dozens or hundreds, burning rather than itching, seldom rupturing spontaneously, and showing no marginal activity or surrounding collar (Scholtz, 1932). No fungus elements are found in the roofs of the vesicles.…”

“…The keratotic areas are coloured yellow or brownish yellow, and are not painful unless fissures form. Secondary infection may take place and the whole of the skin of the foot become sodden and exude foul-smelling sanguineous sero-pus. Vesicles and bullae arise either as a direct spread from the interdigital clefts or oti the dorsum of the toes, dorsum and sole of the foot, &c. The vesicles are arranged in clusters (Scholtz, 1932) and are deep-seated or superficial, and varying in size. They do not appear simultaneously and are not necessarily symmetrical.…”

“…Unless secondarily infected the contents are clear but often show surrounding erythema. The clusters spread from the periphery (Scholtz, 1932) either in all directions or from one point only (Ormsby, 1935). Itching is invariable and can be relieved by rubbing or scratching (Barksdale, 1933).…”