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Related Experiment Videos

[Disseminated inflammatory tinea: An unusual presentation.].

C Grau Salvat1, V Pont Sanjuan, J L Sánchez-Carazo

  • 1Servicio de Dermatología, Hospital General Universitario de Valencia, España.

Revista Iberoamericana De Micologia
|July 28, 2007
PubMed
Summary
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Tinea incognito, a fungal infection exacerbated by topical corticosteroids, presents as worsening skin lesions. This case highlights how improper steroid use can transform a simple fungal infection into a disseminated inflammatory condition.

Area of Science:

  • Dermatology
  • Mycology
  • Infectious Diseases

Context:

  • Tinea incognito is a clinical presentation of superficial fungal infections.
  • It arises from the inappropriate use of topical corticosteroids, which suppress the host's immune response.
  • This can lead to atypical clinical features and spread of the infection.

Purpose:

  • To report a case of disseminated inflammatory tinea incognito.
  • To illustrate the clinical evolution and diagnostic confirmation of this condition.
  • To discuss factors contributing to the dissemination of fungal infections under corticosteroid therapy.

Summary:

  • A 71-year-old male presented with widespread erythematous and squamous lesions.
  • Lesions worsened over seven months of topical corticosteroid treatment, with new pustular formations appearing.

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  • Diagnosis of disseminated inflammatory tinea was confirmed by fungal culture, identifying Trichophyton mentagrophytes.
  • Impact:

    • This case underscores the potential for topical corticosteroids to mask and exacerbate fungal infections.
    • It emphasizes the importance of considering tinea incognito in patients with worsening dermatoses under steroid treatment.
    • Understanding these factors is crucial for accurate diagnosis and effective management of fungal infections.