MYCOTIC INGUINAL LYMPHADENITIS ASSOCIATED WITH SUPERFICIAL FUNGUS DERMATITIS OF THE FEET

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Abstract
An acute exacerbation of superficial mycotic dermatitis of the feet is occasionally accompanied by regional inguinal lymphadenopathy. Often there are systemic manifestations, such as a moderate degree of fever, and some malaise; these constitutional symptoms are rarely, if at all, mentioned in the standard dermatologic textbooks. The primary focus of infection is situated in one or more of the intertriginous areas of the toes, especially in the third or fourth. In a clinical and laboratory study of superficial mycotic dermatitis in 648 patients made by me practically all of the patients showed pedal interdigital foci; seven presented varying degrees of inguinal adenopathy, usually unilateral, together with a flare-up of the feet lesions. Of these, three had some fever and mild constitutional symptoms. Another patient exhibited unilateral axillary adenopathy secondary to an acute eruption on the fingers. The paramount issue was to determine whether such inguinal lymphadenitis was pyogenic, mycotoxic or

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