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Purpose of ReviewWe performed a systematic review of literature from the PubMed database on January 1, 2019, to July 31, 2022. The search criteria were “(tinea manuum OR tinea pedis) AND “two feet-one hand syndrome,” with full text available and English or Spanish language required. This review will focus on the available data supporting the epidemiology, clinical manifestations, diagnosis, and treatment of the two feet-one hand syndrome.Recent FindingsTwo feet-one hand syndrome is a superficial fungal skin infection involving bilateral plantar tinea pedis with coexistent unilateral tinea manuum. Toenails and fingernails may also be affected. Anthropophilic fungal species are the leading cause of dermatophytosis in adults and are isolated more often in males than in females. The species usually involved are Trichophyton rubrum, Trichophyton interdigitale, and Epidermophyton floccosum. Non-dermatophytic filamentous fungi such as Hendersonula toruloidea and Scytalidium hyalinum are the confirmed etiologic agents of palm, sole, and nail infections. This syndrome is highly associated with onychomycosis, and nearly 6% of the patients with onychomycosis develop two feet-one hand syndrome. Typically, tinea pedis occurs at an earlier age than tinea manuum. The infection is transmitted from one foot to the hand by excoriating the soles of the feet and picking toenails and then is transferred from the hand to the other foot. In some cases, tinea manuum develops in both hands, in contrast to the name “one hand.”SummaryThe two feet-one hand syndrome is not uncommon; however, there have only been a few reports on this condition. This revision was undertaken to understand better the disease’s epidemiology, clinical manifestation, diagnosis, and treatment.
Current Fungal Infection Reports – Springer Journals
Published: Dec 1, 2022
Keywords: Tinea pedis; Tinea manuum; Dermatophytosis; Dermatophytes; Trichophyton rubrum
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