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Tinea Nigra

Pronounced: Tee-nee-uh Ni-gra

Definition

Tinea nigra is an infection of the skin. It affects the outermost layer of skin. The infection will cause a black or brown patch on the skin. Except for the dark patch, tine nigra is a harmless condition.

Tinea nigra usually affect the palms of the hands or soles of the feet. It may also appear on the neck or trunk.

Cross-Section of Skin

skin layers cross section

Tinea nigra affects the topmost layer of skin.

Copyright © Nucleus Medical Media, Inc.

Causes

Tinea nigra is caused by a fungus. The type of fungus that causes this infection is most often found in rotting wood, soil, compost, or sewage. The fungus may enter your body through a break in your skin.

Risk Factors

You are more likely to develop tinea nigra if you have been living or traveling in tropical or subtropical areas, such as:

  • South Africa
  • Brazil
  • Panama
  • Cuba
  • Puerto Rico
  • Coastal areas along the Southeastern seaboard of the United States
Symptoms

Tinea nigra causes a brownish-black patch on the skin that:

  • Has an irregular shape with a darker border
  • May be itchy or scaly
  • Tends to expand over time

A tinea nigra patch may be mistaken for a type of skin cancer. Talk to your doctor about any skin growth or changes.

Diagnosis

Your doctor will ask about your symptoms and medical history. A physical exam will be done. You may need to see a skin specialist for tests, diagnosis, and treatment.

Tinea nigra is diagnosed by scraping a small sample of the affected skin. The sample is grown in a lab. The fungi can then be identified.

Treatment

Talk with your doctor about the best treatment plan for you.

Tinea nigra is usually treated with an antifungal medication. The medication is placed on the skin as creams or ointments.

Prevention

To help reduce your chance of getting tinea nigra, take the following steps:

  • Use care when traveling in high-risk areas.
  • Avoid contact with potentially infected material, such as rotting wood, dirt, sewage, or compost.
  • If you must work with any of the materials listed above, take the proper safety steps. Wear gloves and other protective gear.

RESOURCES:

American Academy of Dermatology
http://www.aad.org

Dr. Fungus
http://www.doctorfungus.org

CANADIAN RESOURCES:

Canadian Family Physician
http://www.cfpc.ca

Health Canada
http://www.hc-sc.gc.ca/index-eng.php

References:

Gupta AK. Tinea corporis, tinea cruris, tinea nigra, and piedra. Dermatological Clinics. 2003;21:395-400.

Habif TP. Clinical Dermatology. 4th ed. St. Louis: Mosby; 2004.

Mandel GL, Bennett JE, et al. (eds). Principles and Practice of Infectious Diseases. 6th ed. Philadelphia, PA: Elsevier, Inc.; 2005.

Tropical travel. American Academy of Dermatology website. Available at: http://www.aad.org/media-resources/stats-and-facts/prevention-and-care/tropical-travel. Accessed December 7, 2012.



Last reviewed December 2013 by David L Horn, MD, FACP

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

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