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Related Experiment Videos

Pimecrolimus-induced tinea incognito.

Kevin M Crawford1, Paul Bostrom, Brian Russ

  • 1Malcolm Grow Medical Center, Dermatology Clinic 89, MDOS/SGOMD, 1050 West Perimeter Road, Andrews AFB, MD 20762, USA. kevin_crawford@andrews.af.mil.

Skinmed
|November 13, 2004
PubMed
Summary

A pediatric case initially diagnosed as eczema showed a fungal infection upon further examination. Oral griseofulvin and topical ketoconazole effectively treated the widespread fungal rash.

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Area of Science:

  • Dermatology
  • Mycology
  • Pediatrics

Background:

  • Eczema is a common inflammatory skin condition in children.
  • Misdiagnosis can lead to delayed or ineffective treatment.
  • Fungal infections can mimic other dermatological conditions.

Observation:

  • A 6-year-old boy presented with a pruritic rash initially diagnosed as eczema.
  • Treatment with pimecrolimus and later nystatin/triamcinolone was ineffective.
  • Lesions spread and developed annular, scaly plaques with central clearing.

Findings:

  • Potassium hydroxide examination revealed fungal hyphae, indicating a tinea infection.
  • Oral griseofulvin and topical ketoconazole led to complete resolution of the rash.
  • This case highlights the importance of considering fungal infections in recalcitrant dermatoses.

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Implications:

  • Accurate diagnosis is crucial for effective pediatric dermatological treatment.
  • Fungal infections should be considered in the differential diagnosis of persistent or spreading rashes.
  • Antifungal therapy can successfully treat widespread tinea infections in children.