Abstract

Tinea corporis usually presents as an erythematous annular plaque with a scaly, concentrically expanding border. However, it is often difficult to diagnose when the initial manifestation is atypical, especially in immunocompromised patients. Early accurate diagnosis on mycologic basis may be of value in controlling the disease and preventing severe infection. We herein report an atypical case of tinea corporis that presented with skin lesions resembling erythema annulare centrifugum. A 61-year-old female presented with multiple, pruritic, polycyclic plaques on the back for a few days. She had been diagnosed with multiple myeloma, and was being treated with Velcade chemotherapy. KOH examination was positive, and on histological examination, fungal hyphae were noted on Periodic acid-Schiff (PAS)

stain. Fungal cultures from skin scrapings showed growth of Trichophyton rubrum.

Keywords

Atypical tinea corporis Immunocompromised patient Multiple myeloma Trichophyton rubrum

KJMM 2009 September;14(3):150-154(5). Epub 2016 February 18
Copyright © 2009 by Korean Journal of Medical Mycology

Language

Korean/English

Author

Eun Jung Kim; Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Hei-Sung Kim; Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Hyung-Ok Kim; Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Young-Min Park; Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea

Corresponding

Young-Min Park, Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. Tel: (02) 2258-2867, Fax: (02) 5819-5820, e-mail: yymmpark6301@hotmail.com

Publication history

Acknowledgements

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Eun Jung Kim

Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea

Hei-Sung Kim

Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea

Hyung-Ok Kim

Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea

Young-Min Park

Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea

Since epub date 2016 February 18