Chronic mucocutaneous candidiasis with widespread dermatophyte infection: the trailing scale sign

The hallmark of cutaneous dermatophyte infection is scaling over an erythematous border. Widespread or recalcitrant dermatophyte infections may occur when there is underlying immunosuppression. A trailing fringe of scale has been noted in these infections. A patient with chronic mucocutaneous candidiasis and widespread dermatophyte infection demonstrating trailing scale is presented.