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Tinea corporis gladiatorum presenting as a majocchi granuloma

Anil Kurian1, Richard M Haber

  • 1Department of Medicine, McMaster University, 1280 Main Street West, Hamilton, Ontario, Canada L8S 4L8.

ISRN Dermatology
|February 25, 2012
PubMed

Insights

Wrestlers can develop Majocchi granuloma from tinea corporis gladiatorum, a fungal infection often misdiagnosed. Early diagnosis and oral antifungal treatment are crucial for resolving these persistent skin lesions.

Area of Science:

  • Dermatology
  • Mycology
  • Sports Medicine

Background:

  • Wrestlers are prone to dermatophyte fungal infections.
  • Tinea infections can be misdiagnosed as inflammatory dermatitis.
  • Misdiagnosis leads to topical corticosteroid use, causing immunosuppression and potential Majocchi granuloma.

Observation:

  • A 20-year-old wrestler presented with a 4-year history of a pruritic, scaly, erythematous plaque with follicular papules and pustules.
  • The lesion clinically resembled Majocchi granuloma and was refractory to topical treatments.
  • Scalp culture revealed Trichophyton tonsurans, confirming a fungal etiology.

Findings:

  • This is the first reported case of tinea corporis gladiatorum presenting as Majocchi granuloma.
  • Despite negative initial lesion cultures, oral Terbinafine resolved both forearm and scalp lesions within 6 weeks.

Implications:

  • Dermatologists should consider tinea corporis gladiatorum in the differential diagnosis of Majocchi granuloma in wrestlers.
  • Prompt diagnosis and appropriate oral antifungal therapy are essential for managing these complex fungal infections.

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