Ragıp İsmail ENGİN

A Case of Tinea Incognito

ISSN: 2147-0634
Yayın Aralığı: 4
Başlangıç: 2012
Yayıncı: Effect Publishing Agency ( EPA )

A 62-year-old male farmer presented to our clinic with eruption and mild itching on the right hand. He stated that this eruption had begun 15 days previously and that he had presented to the local general practitioner. Dermatological examination revealed a lesion containing maculopapules approximately 6x7 cm in size on the dorsum of the right hand with mild margin activation and a very few occasional red squamae. Dermatophyte infection was primarily suspected. We learned from anamnesis that the drug previously administered was clobetasol dipropionate, raising the possibility of tinea incognito (TI). Native preparate was performed from the squamae on the lesion. Fungal hyphae were observed at microscopic examination. In describing this case diagnosed as TI, we wish to emphasize that specimens should be taken for microscopic examination with KOH in patients with a similar clinical appearance at differential diagnosis, and that treatment should be administered accordingly.

PDF

___

Kim WJ, Kim TW, Mun JH, Song M, Kim HS, Ko HC, Kim BS, Park CW, Lee SJ, Lee MH, Lee KS, Kye YC, Suh KS, Chung H, Lee AY, Kim KH, Lee SK, Park KC, Lee JY, Choi JH, Lee ES, Lee KH, Choi EH, Seo JK, Choi GS, Park HJ, Yun SK, Seo SJ, Yoon TY, Kim KH, Yu HJ, Ro YS, Kim MB.. Tinea incognito in Korea and its risk factors: nine-year multicenter survey. J Korean Med Sci. 2013;28(1):145-51.

Ive FA, Marks R. Tinea incognito. Br Med J. 1968;3(5611):149-52.

Polilli E, Fazii P, Ursini T, Fantini F, Di Masi F, Tontodonati M, Sozio F, Parruti G. Tinea incognito caused by microsporum gypseum in a patient with advanced HIV infection: A case report. Case Rep Dermatol. 2011;3(1):55-9.

Yu C, Zhou J, Liu J. Tinea incognito due to microsporum gypseum. J Biomed Res. 2010;24(1):81-3.

Segal D, Wells MM, Rahalkar A, Joseph M, Mrkobrada M. A case of tinea incognito. Dermatol Online J. 2013;19(5):18175.