Abstract

Tinea incognito is the dermatophytosis of atypical clinical presentation that induced by topical and systemic corticosteroid treatment or new class of topical non-steroidal agent such as tacrolimus or pimecrolimus. We report a case of eczema-like tinea incognito in a 15-year-old girl. The lesions were manifested by pruritic to tender, scaly well-demarcated erythematous macules and patches with pustules on the lateral side of right shin. She had been treated with topical corticosteroid and pimecrolimus for 6 months. Direct microscopic examination of the lesion was positive for hyphae and fungal culture revealed colonies of Trichophyton(T.) rubrum. Histopathologic examination of the skin lesion showed mild perivascular inflammation with presence of fungal hyphae in the horney layer of the epidermis. The patient was treated with 250 mg of terbinafine daily for 1 month and topical lanoconazole application. Skin lesions improved one month after the treatment, and no recurrence was observed.

Keywords

Eczema-like Tinea incognito Leg

KJMM 2011 June;16(2):51-55(5). Epub 2016 February 18
Copyright © 2011 by Korean Journal of Medical Mycology

Language

Korean/English

Author

Sung Min Hwang; Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea
Dong Min Kim; Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea
Moo Kyu Suh; Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea
Gyoung Yim Ha; Departments of Laboratory Medicine, College of Medicine, Dongguk University, Gyeongju, Korea
Jung Ran Kim; Departments of Pathology, College of Medicine, Dongguk University, Gyeongju, Korea

Corresponding

Moo Kyu Suh, Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea. Tel: (054) 770-8268, Fax: (054) 773-1581, e-mail: smg@dongguk.ac.kr

Publication history

Received 24 August 2010; Revised 4 April 2011; Accepted 4 April 2011.

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.

Sung Min Hwang

Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea

Dong Min Kim

Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea

Moo Kyu Suh

Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea

Gyoung Yim Ha

Departments of Laboratory Medicine, College of Medicine, Dongguk University, Gyeongju, Korea

Jung Ran Kim

Departments of Pathology, College of Medicine, Dongguk University, Gyeongju, Korea

Since epub date 2016 February 18