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Interdigital Tinea Nigra.

Marina K Ibraheim1, Michelle A McNally1, Jaime Tschen2

  • 1Dermatology, John P. and Kathrine G. McGovern School of Medicine, University of Texas Health Center, Houston, USA.

Cureus
|May 12, 2020
PubMed
Summary
This summary is machine-generated.

Tinea nigra is a fungal infection causing dark skin patches, often mistaken for melanoma. Diagnosis via KOH prep and Wood

Keywords:
dermatomycosisinterdigitalkoh preparationtinea nigra

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Area of Science:

  • Dermatology
  • Mycology
  • Infectious Diseases

Background:

  • Tinea nigra is a rare superficial fungal infection caused by *Hortaea werneckii*.
  • This fungus produces a melanin-like pigment, leading to dark skin lesions.
  • Lesions often mimic benign or malignant pigmented skin conditions.

Observation:

  • A 52-year-old woman presented with a painless, asymptomatic dark brown patch on her foot.
  • The lesion's appearance raised suspicion for melanoma or nevi.
  • Initial diagnostic steps included Wood's lamp examination and potassium hydroxide (KOH) preparation.

Findings:

  • KOH preparation confirmed the presence of *Hortaea werneckii*.
  • Wood's lamp examination also supported the diagnosis of fungal infection.
  • The patient's presentation mimicked more serious dermatological conditions.

Implications:

  • Non-invasive diagnostic methods like KOH prep are crucial for identifying tinea nigra.
  • Prompt and accurate diagnosis prevents unnecessary invasive procedures.
  • Effective topical antifungal treatment leads to complete resolution of tinea nigra.