Clinico-epidemiological study of tinea incognito with microbiological correlation

Dutta, Bornali; Rasul, Elmy Samsul; Boro, Bobita

doi:10.4103/ijdvl.ijdvl_297_16

Cited by 37 publications

(76 citation statements)

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“…The case presented by us may be regarded as a variant of "tinea incognito", i.e., undiagnosed mycosis, erroneously diagnosed as another dermatosis, which is often caused by the patient using local glucocorticosteroids or other local immunomodulators, which hinders proper diagnosis [9]. These drugs inhibit the development of inflammatory reactions, which allows pathogens to develop, remaining unnoticed [10].…”

Section: Discussionmentioning

confidence: 98%

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Candidiasis and demodicosis of facial skin imitating exacerbation of rosacea

Łańczak¹,

Spałek²,

Kubisiak-Rzepczyk³

et al. 2019

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Rosacea is a chronic dermatosis, manifesting with erythema, papular or pustular eruptions located in the facial area. The authors present a case of an 84-year-old woman with a long-term history of rosacea who had a mycotic infection of the facial skin imitating aggravation of the underlying disease. The case presented by us can be regarded as a variant of "tinea incognito", i.e., undiagnosed mycosis, misdiagnosed as another dermatosis, which is often aggravated by the patient by using local glucocorticosteroids or other local immunomodulators, which hinders proper diagnosis. It may be diagnostically relevant to consider other comorbidities in elderly patients with rosacea. StReSZCZenie Trądzik różowaty jest przewlekłą dermatozą, która objawia się występowaniem wykwitów rumieniowych, grudkowych lub krostkowych w obrębie skóry twarzy. Autorzy przedstawiają przypadek 84-letniej kobiety z wieloletnim wywiadem w kierunku trądziku różowatego, u której rozpoznano grzybicze zakażenie skóry twarzy imitujące nasilenie choroby podstawowej. Prezentowany przez nas przypadek można uznać za odmianę tinea incognito, tj. grzybicę błędnie rozpoznaną jako inna dermatoza. Przypadki tego typu często są powodowane przez samych pacjentów, którzy stosują miejscowe glikokortykosteroidy lub inne miejscowe immunomodulatory, co utrudnia właściwą diagnozę. U pacjentów z trądzikiem różowatym w starszym wieku możliwe jest współwystępowanie nużycy i nadkażenie innymi patogenami.

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Section: Discussionmentioning

confidence: 98%

“…niezdiagnozowaną grzybicę błędnie rozpoznaną jako inna dermatoza. Do jej rozwoju często przyczynia się sam pacjent, stosując miejscowe glikokortykosteroidy lub inne miejscowe immunomodulatory, co utrudnia ustalenie diagnozy [9]. Leki te hamują rozwój reakcji zapalnych, a to sprzyja niezauważonemu namnażaniu się patogenów [10].…”

Section: Discussionunclassified

Candidiasis and demodicosis of facial skin imitating exacerbation of rosacea

Łańczak¹,

Spałek²,

Kubisiak-Rzepczyk³

et al. 2019

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“…Los agentes etiológicos comúnmente reportados son: Trichophytum rubrum, T. mentagrophytes, T. tonsurans, T. verrucosum (caso 1 y caso 2), Epidermophyton floccosum, Microsporum canis y M. gypseum. 1,2,3,14 Cuando se trata de casos faciales, los dos primeros son los más frecuentes. La fuente de contagio en niños suele ser antropofílica, 12,13 muchas veces de una onicomicosis concomitante.…”

Section: Discussionunclassified

Tiña incógnita facial. Informe de dos casos

Castro¹,

Hernández²,

Enamorado³

2019

Acta Pediatr Mex

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ANTECEDENTES: La tiña incógnita es una infección dermatofítica, con una morfología modificada debido al uso inapropiado de esteroides tópicos, sistémicos o inhibidores de la calcineurina. Este problema es más frecuente en casos de tiñas faciales y constituye un reto diagnóstico que requiere historia clínica minuciosa, examen físico y estudios complementarios. En países tropicales, en vías de desarrollo, las dermatofitosis son un problema de gran prevalencia debido a múltiples factores: clima cálido, hacinamiento, contacto con animales y malos hábitos de higiene. Honduras no es la excepción y, además de los factores mencionados, la venta de medicamentos sin prescripción favorece la automedicación. Otro factor contribuyente es la no disponibilidad de exámenes de laboratorio en la mayor parte de los centros asistenciales estatales, lo que dificulta la confirmación diagnóstica de una dermatosis.CASOS CLÍNICOS: Se comunican dos casos de tiña facial incógnita en dos pacientes del sexo femenino en edad pediátrica ocasionadas por Trichophyton verrucosum y tratadas con la combinación de antimicóticos tópicos y sistémicos con excelentes resultados.CONCLUSIÓN: Es imporante concientizar a los profesionales de la salud acerca del riesgo del uso inapropiado de esteroides y de inhibidores de la calcineurina en dermatosis eritematoescamosas, sobre todo las faciales.

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“…5 In a previous study by Dutta et al, pharmacists were responsible for 78% of tinea incognito cases, and betamethasone dipropionate was the most common drug used. 23 Sweating (10%) was the most common aggravating factor and taking bath (20%) was the most common relieving factor.…”

Section: Discussionmentioning

confidence: 99%

“…The highest incidence was in the month of November (23) followed by August (15) Among individuals, 46.67% were married and unmarried were (53.33%). (14) were uneducated.…”

Section: Figure 3 Monthly Prevalencementioning

confidence: 99%

Epidemiological Trend in Superficial Fungal Infections at a Tertiary Centre in Western Uttar Pradesh, India

Mangla¹

2018

jemds

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BACKGROUND It is an indisputable fact that there is an increase in the prevalence of dermatophytosis over the past 4-5 years across the country (Prevalence rate= 27.6% in India and 29.6% outside India). 1,2,3 However, the current perception among practicing Indian Dermatologists is that among outpatients there is a huge change in clinical profile, both qualitative and quantitative. 1 The study was aimed at studying different epidemiological factors, which influence or are likely to influence superficial fungal infections. MATERIALS AND METHODS This was a descriptive study. Patients with suspected dermatophytoses attending the Dermatology Department of SRMS Hospital, Bareilly were enrolled in the study. A detailed history, clinical examination and sample collection for mycological examinations were done. RESULTS Out of 600 patients screened, 150 patients were finally enrolled who fulfilled all inclusion criteria and exclusion criteria. CONCLUSION Our study is a comparative analysis with studies done in other parts of the country to the trends in Western Uttar Pradesh and Uttarakhand on dermatophytosis and superficial fungal infection. Subjects in the age group 21-30 years, service personnel and subjects from upper socioeconomic status were more predisposed to superficial fungal infections.

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Clinico-epidemiological study of tinea incognito with microbiological correlation

Abstract: Tinea incognito is a commonly encountered, yet poorly reported entity in the study population. An increased level of awareness and vigilance on the sale of steroid containing compounds will help control this dermatological condition.

Cited by 37 publications

References 0 publications

Candidiasis and demodicosis of facial skin imitating exacerbation of rosacea

Candidiasis and demodicosis of facial skin imitating exacerbation of rosacea

Tiña incógnita facial. Informe de dos casos

Epidemiological Trend in Superficial Fungal Infections at a Tertiary Centre in Western Uttar Pradesh, India

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