Rapid treatment of tinea nigra palmaris with ciclopirox olamine gel, 0.77%.
A 48-year-old white woman presented with the abrupt onset of an asymptomatic but cosmetically distressing eruption on the palm. Physical examination disclosed a 2.5 x 2.0-cm macular brown patch on the central left palm (Figure 1). Potassium hydroxide examination revealed brown-pigmented, septate, branching filamentous hyphae. Clinical and microscopic findings were classic for tinea nigra palmaris. Medical, family, and social history were all unremarkable. The patient applied ciclopirox olamine gel, 0.77% b.i.d. for 3 days. Following this brief therapeutic intervention, the lesion resolved completely (Figure 2). She remained clear during the ensuing 14-month follow-up.
Rosen
Ted
T
Department of Dermatology, Baylor College of Medicine, Houston, TX 77005, USA. vampireted@aol.com
Lingappan
Ahila
A
D000935:Antifungal Agents / Q000008:administration & dosage*; D000077768:Ciclopirox; D005260:Female; D005782:Gels; D006229:Hand Dermatoses / Q000188:drug therapy*; D006801:Humans; D008875:Middle Aged; D011728:Pyridones / Q000008:administration & dosage*; D014005:Tinea / Q000188:drug therapy*
D000935:Antifungal Agents; D005782:Gels; D011728:Pyridones; D000077768:Ciclopirox