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Common Difficulties in the Diagnosis and Therapy of Tinea in Patients Diagnosed in Dermatology Hospital in the Years 1981~2000

E. Krajewska-Kułak,E. Moss,C. Łukaszuk,W. Niczyporuk,M. Bartoszewicz,I. Roszkowska
Epub 2016 February 20

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Abstract



Background: In the years 1981~2002 our department carried out a retrospective study of common difficulties in the diagnosis and therapy of tinea, over a 19 year period in Białystok.


Objective: The assessment of incidence of an inappropriate diagnosis and therapy of tinea and tinea incognito (TI) among patients treated at the Dermatology Hospital in Białystok in the years 1981~2000.


Material and Methods: All cases of tinea and TI diagnosed at the hospital were recorded in case records. All cases of tinea and TI were analyzed.


Results: We have identified the incidence of tinea in 1,045 patients (4.3% of all patients - 24,547). TI was diagnosed in 394 patients (37.7% of all patients with tinea). The most diagnostic-therapeutic problems were observed in the patients with tinea pedis, tinea corporis profunda and superficialis, tinea capitis profunda and superficialis, tinea of manum and pedis, tinea barbae profunda and onychomycosis. Before the patients admission to hospital, the following diagnoses were established: eczema, pyodermia, psoriasis, allergic dermatitis, allergisatio secondary. The misdiagnoses of tinea were made by pediatricians, general practitioners and dermatologists.


Conclusions: In our study we have demonstrated a high percentage of TI in comparison with all tinea patients.



Keywords


Tinea Tinea incognito Steroids




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