Achalasia is motility disorder of esophagus. Achalasia is a rare disorder affecting about 1.6 per 100,000 individuals. Both men and women are equally affected. The disease usually occurs between the ages of 25 and 60 years. The primary cause of Achalasia is unknown. Secondary cause of Achalasia can be due to Chagas disease caused by protozoan parasite, Trypanosoma Cruzi which occurs predominantly in Central and South America.

Achalasia4

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Tinea is a fungal infection of skin, nail and hairs. Tinea is usually caused by filamentous fungi such as Trichophyton, Microsporum and Epidermophyton. Among those fungi, Trichophyton is the most common cause of Tinea in human skin.

Tinea can be spread by skin to skin contact or indirectly through sharing of towels, clothes or walking with barefoot on floors. Tinea tends to grow on warm, sweat prone areas of the body.

There are few types of Tinea which depends on the locations of the body affected:

  • Tinea corporis- Infection of body surfaces other than feet, groin, face, scalp hair or beard hair
  • Tinea pedis- Infection of the foot (Athelete's foot)
  • Tinea cruris- Infection of the groin (Jock itch)
  • Tinea capitis- Infection of scalp hair
  • Tinea unguium (dermatophyte onchomycosis)- Infection of the nail

Symptoms:

  • Itching and stinging
  • Circular red scaly rash with central clearing (usually happens on body, groin, arms and legs)
  • Blister scaly rash due to intense inflammatory reaction 
  • Yellow or white discolouration of the nails. Loosening or separation of fingernail or toenail from its bed
  • Bald spots on the scalp known as Kerion

Treatment:

  • Antifungal cream such as Lamisil cream can be used to treat Tinea but it takes time to work and can be expensive. Canestan cream does not work well in treatment of Tinea
  • Terbinafine tablet. More effective but also take time to work. The medication is generic and therefore, even without approval from PBS authority, the price is still reasonable to purchase privately
  • Azole tablets such as Itraconazole and Fluconazole  
  • Griseofulvin

Tinea1