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Document Details :
Title: Een paardrijdster met letsels aan handen en enkels
Author(s): VAN MEENSEL B, SWELDENS K, VAN ESBROECK M, LONTIE M
Journal: Tijdschrift voor Geneeskunde
Volume: 68 Issue: 14-15 Date: 2012
A horse rider with lesions on hands and ankles
The medical history of a 21-year-old female horse rider with dermatophytosis due to Microsporum praecox is reported. The patient presented with pruritic, papular lesions on the hands, feet and ankles. Antifungal therapy with oral terbinafine during 28 days resulted in a complete remission of the fungal lesions.
M. praecox is a geophilic dermatophyte which is rarely reported as a cause of human lesions. It is present in soil and often in equine environments (saddles, straw, stables, etc.). Therefore, most human cases are linked to contact with horses.
In patients presenting these lesions on the upper or lower limbs and with direct or indirect contact with horses, a skin scraping should be executed for a mycological examination.