Tinea Incognito on the Face of a 9-Year-Old Girl with History of Steroid Use

Document Type : Case Report

Authors

1 Resident, Department of Dermatology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2 Assistant Professor, Department of Dermatology, School of Medicine AND Cutaneous Leishmaniasis Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Background: Tinea incognito is a fungal infection with bizarre presentation due to the topical use of steroids or calcineurin inhibitors. Herein, we present a case of tinea incognito infection.Case Report: A 9-year-old girl complaining of pruritic non-scaly erythematous papulopustular lesions and a 3-month history of use of clobetasol propionate 0.05% referred to our dermatology clinic. In the examination, papules, erythematous plaques, and pustules were found diffusely on her face, neck, arm, and dorsum of the hand. The smear and culture of the lesions confirmed the diagnosis of tinea incognito. The patient was treated completely with fluconazole capsules, ketoconazole shampoo, and clotrimazole cream.Conclusion: Due to widespread and improper use of steroids, the incidence of tinea incognito infection has increased. Oral antifungals can be used safely and effectively in treatment of these patients.

Keywords

References

  1. Al Hawsawi K, Alshehri S, Al Muawad N, Gaafar R, Alsadi K, Alhajaji M, et al. Tinea incognito: Case report. Dermatol Open J. 2017; 2(1): 7-9.
  2. Lizardo-Castro G, Cerrato-Hernandez K, Cruz-Enamorado B. Facial tinea incognito. Case report. Pediatr Mex 2019; 40(1): 22-7.
  3. Quinones C, Hasbun P, Gubelin W. Tinea incognito due to Trichophyton mentagrophytes: Case report. Medwave 2016; 16(10): e6598.
  4. Tchernev G, Terziev I. Bullous Tinea incognito in a Bulgarian child: First description in the medical literature! Open Access Maced J Med Sci 2018; 6(2): 376-7.
  5. Siddaiah N, Erickson Q, Miller G, Elston DM. Tacrolimus-induced tinea incognito. Cutis 2004; 73(4): 237-8.
  6. Arenas R, Moreno-Coutino G, Vera L, Welsh O. Tinea incognito. Clin Dermatol 2010; 28(2): 137-9.
  7. Sheth HJ, Rathod SP, Chaudhary RG, Malhotra SD, Patel PR. Tinea incognito with unjustified use of potent Topical Corticosteroids: a case series. Int J Basic Clin Pharmacol 2017; 6(8): 2087-90.
  8. del Boz J, Crespo V, Rivas-Ruiz F, de Troya M. Tinea incognito in children: 54 cases. Mycoses 2011; 54(3): 254-8.
  9. Stringer T, Gittler JK, Orlow SJ. Tinea incognito in an urban pediatric population. Cutis 2018; 102(5): 370-2.
Journal of Isfahan Medical School
Volume 38, Issue 566 - Serial Number 566
January and February 2020
Pages 135-138

Files

History

  • Receive Date: 28 January 2020
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

Share

How to cite

Statistics