Please click to enlarge.
Note what signs you see.
I (W. Wertelecki, M.D.) see an infected palm (volar skin) – no evidence of suppuration (pus) nor other inflammatory signs – evidence of hyperkeratosis – etc. In the second image I see a significant resolution and a tube showing an actively growing fungus cultured from volar skin scales collected at the time of the first visit.
PERSPECTIVE: Tinea Manus (fungal infection or tinea of the hand or manus) is a relatively common infection in children and is often a cause of hyperkeratosis. More commom is “tinea pedis” (feet).
This illustration poses a question – when to treat the infection (see “Clinical Pearls” – search for “Treat”).