Tinea incognito: an update on Majocchi granuloma

M L Elgart1

  • 1Department of Dermatology, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

Dermatologic Clinics
|January 1, 1996
PubMed

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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