Tinea incognito: an update on Majocchi granuloma
1Department of Dermatology, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Abstract:
Majocchi granuloma was described naturally in situations of occlusion and later from superficial trauma such as shaving. More recently, the disease has occurred in the immunocompromised patient. Iatrogenic disease (tinea incognito) is a new and more subtle form.
Insights
Majocchi granuloma, a fungal infection, can arise from skin occlusion or trauma. It is increasingly seen in immunocompromised individuals and can present subtly as iatrogenic tinea incognito.
Area of Science:
- Dermatology
- Mycology
- Infectious Diseases
Background:
- Majocchi granuloma is a deep fungal infection of the hair follicle.
- Historically associated with follicular occlusion and superficial trauma like shaving.
- Recent observations highlight its occurrence in immunocompromised patients.
Purpose of the Study:
- To review the evolving clinical presentations and etiologies of Majocchi granuloma.
- To emphasize the significance of iatrogenic forms, such as tinea incognito.
Main Methods:
- Literature review of Majocchi granuloma cases.
- Analysis of clinical and etiological factors.
- Comparison of historical and recent case series.
Main Results:
- Majocchi granuloma presentation is linked to occlusion and trauma.
- Increased incidence noted in immunocompromised individuals.
- Iatrogenic tinea incognito represents a subtle, emerging form.
Conclusions:
- Majocchi granuloma has diverse etiologies, including trauma and occlusion.
- Immunocompromised status is a significant risk factor.
- Recognition of subtle iatrogenic forms like tinea incognito is crucial for timely diagnosis and treatment.
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