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Tinea corporis gladiatorum.

Stefano Veraldi1, Davide Valentini2, Andrea G Faraci2

  • 1Department of Pathophysiology and Transplantation, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy - stefano.veraldi@unimi.it.

Italian Journal of Dermatology and Venereology
|April 29, 2021
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Summary
This summary is machine-generated.

Tinea corporis gladiatorum (TCG), a skin infection common in wrestlers, is caused by Trichophyton tonsurans. Fluconazole is the recommended treatment for this condition.

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Area of Science:

  • Dermatology
  • Infectious Diseases
  • Sports Medicine

Background:

  • Tinea corporis gladiatorum (TCG) is a fungal infection prevalent among athletes due to close skin contact.
  • Trichophyton tonsurans is the most common dermatophyte identified in TCG cases.
  • Reported globally in countries with popular wrestling and judo scenes, TCG has not been documented in Italy.

Purpose of the Study:

  • To summarize the epidemiology, clinical presentation, and treatment of Tinea corporis gladiatorum.
  • To highlight the diagnostic challenges posed by atypical presentations of TCG.
  • To establish fluconazole as the primary therapeutic agent.

Main Methods:

  • Literature review of TCG cases and epidemiological data.
  • Analysis of clinical presentations, including typical and atypical (e.g., bacterial folliculitis-like) manifestations.
  • Review of treatment guidelines and efficacy of antifungal agents.

Main Results:

  • TCG is frequently associated with athletes in contact sports like wrestling and judo.
  • The causative agent is predominantly Trichophyton tonsurans.
  • Atypical clinical presentations mimicking bacterial folliculitis are common in TCG.
  • Fluconazole is identified as the most effective treatment option.

Conclusions:

  • TCG is a significant dermatophyte infection in athletic populations, often caused by Trichophyton tonsurans.
  • Awareness of atypical presentations is crucial for timely diagnosis and management.
  • Fluconazole is the established therapy of choice for Tinea corporis gladiatorum.