Korean J Med Mycol.  2010 Dec;15(4):170-174.

A Case of Tinea Faciei Caused by Trichophyton mentagrophytes with Atypical Presentation

• Park SB
• Lee YW
• Park EJ
• Kwon IH
• Kim KH
• Kim KJ

Abstract

Tinea faciei is a dermatophyte infection of the glabrous part of facial skin most commonly caused by the Trichophyton species. Tinea faciale has been classified as part of tinea corporis but recently for its unique features, it is being considered a separate disease entity. Tinea faciale is a relatively rare dermatophytosis and is characterized by clinical polymorphism, which leads to frequent misdiagnosis and mistreatment with corticosteroids. Long term treatment with glucocorticoids can subsequently lead to tinea incognito. Herein we describe an unusual case of tinea faciei caused by T. mentagrophytes in a 40-year-old women with erythematous facial eruptions, initially misdiagnosed as allergic contact dermatitis and rosacea. By using mycological and histological examinations, dermatophytosis caused by Trichophyton mentagrophytes was confirmed. Oral terbinafine was administered together with topical clotrimazole and hydrocortisone for 4 weeks.

Keyword

Trichophyton mentagrophytes; Tinea faciei; Tinea incognito

MeSH Terms

Adrenal Cortex Hormones
Adult
Arthrodermataceae
Clotrimazole
Dermatitis, Allergic Contact
Diagnostic Errors
Female
Glucocorticoids
Humans
Hydrocortisone
Naphthalenes
Rosacea
Skin
Tinea
Trichophyton
Adrenal Cortex Hormones
Clotrimazole
Glucocorticoids
Hydrocortisone
Naphthalenes