Periocular Tinea Faciei

Amigo, Morgan; Milani‐Nejad, Nima; Mosser-Goldfarb, Joy

doi:10.1016/j.jpeds.2020.02.031

Cited by 3 publications

(4 citation statements)

References 2 publications

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“…As a result of misdiagnosis, these cases were typically treated with topical steroids or calcineurin inhibitors for their anti-inflammatory effects, which in turn accelerated dermatophyte growth and made the diagnosis more difficult to defend, even without the resulting delays in proper antifungal therapy. 29 , 39 , 42 …”

Section: Discussionmentioning

confidence: 99%

Case Report and Literature Review of Impetigo-Like Tinea Faciei

Zhang¹,

Ye²,

Wang³

et al. 2022

IDR

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Impetigo, commonly caused by bacteria, is characterized by lesions of pustules, bullae or golden yellow crusts; it is seldom caused by fungi. Here, we report one case of a 17-year-old female patient with a 1-month history of erythematous pustules on her left cheek. She was clinically diagnosed with “impetigo”, but did not respond to 1 week of treatment with topical mupirocin cream (antibacterial agent). We then saw that a fungal colony grew on the culture, which was identified as T. mentagrophytes based on the morphological and molecular characteristics. The patient was then diagnosed with tinea faciei and was topically treated with 0.2% ketoconazole cream twice per day for 7 days. Through a literature review, we found another 18 cases of impetigo-like tinea faciei with similar clinical manifestations and pathogenic characteristics. Among these, the most common causative agent was T. mentagrophytes complex, which frequently occurs in children and adolescents and exhibits no gender preferences. Systemic and topical antifungals such as terbinafine or itraconazole are effective for impetigo-like tinea faciei caused by T. mentagrophytes complex. However, prolonged course of impetigo in more than 50% cases highlights the importance of mycological examination when dealing with apparent antibiotic-resistant impetigo cases in clinical settings.

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Section: Discussionmentioning

confidence: 99%

Case Report and Literature Review of Impetigo-Like Tinea Faciei

Zhang¹,

Ye²,

Wang³

et al. 2022

IDR

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“…Such a delay can last up to 24 weeks, with a median of 6 weeks, prolonging patients' discomfort. 2,[4][5][6][7] Therefore, early recognition and prompt treatment of this condition are essential for better outcomes.…”

Section: Answer To: Acquired Causes Of Eyebrow and Eyelash Loss: A Re...mentioning

confidence: 99%

“…The main mycological agents reported to cause tinea faciei are: Nannizzia gypsea (before Microspurum gypseum), T. rubrum, Microsporum canis, T. mentagrophytes sensu stricto, T. interdigitale sensu stricto and T. verrucosum. [2][3][4][5][6][7] These zoophilic agents typically cause inflammatory tinea, resulting in blepharitis and a clinical presentation resembling cellulitis-like conditions 2,4 ; meanwhile, Trichophyton spp., including T. mentagrophytes/interdigitale complex, T. rubrum, T. violaceum, T. tonsurans and M. canisis, are the main causes of parasitization of facial hair. 4,8 In this case, we were able to isolate T. mentagrophytes/ interdigitale complex; this is the most actual taxonomic designation, unless there is a determination by molecular biology of one of the two species; in this case, it should be named T. mentagrophytes or T. interdigitale sensu stricto.…”

Section: Answer To: Acquired Causes Of Eyebrow and Eyelash Loss: A Re...mentioning

confidence: 99%

Answer to: Acquired causes of eyebrow and eyelash loss: A review and approach to diagnosis and treatment

González‐Escalante,

Ruiz‐Arriaga,

Arenas

et al. 2023

Aust J Dermatology

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“…It can also present with involvement of other areas such as the scalp. [3,15] Dermatophytes are keratinophilic and release various enzymes, including keratinases which allow them to invade the stratum corneum of the epidermis. Adherence to the host cell is mediated by the expression of specific carbohydrate "adhesins" located on the surface of the conidia and projections of fibrils that connect the adjacent arthroconidia to the skin.…”

Section: Introductionmentioning

confidence: 99%

Tinea Faciei in Children: A Case Series at the Instituto Nacional de Salud del Niño-Breña (Lima-Peru)

Juan¹,

Carlos²

2022

CMR

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The objective of this study is to report the epidemiology, clinical and microbiological characteristics, and treatment of pediatric patients diagnosed with tinea faciei. 30 cases have been identified in which the infectious agent was isolated, the data was collected in statistical tables that were evaluated. In this series of cases, it is evidenced that tinea faciei affects more frequently the female sex in 73.3% and children under 5 years old in 66.6%. They attended with a time of disease greater than 30 days. 40% had previous treatment, 53.3% with polyvalent, topical corticoid and antibiotics. The presence of cats, dogs and rabbits was reported in 46% of cases, 76.7% had the genian region compromised. Trichophyton tonsurans was identified in 80% of cases and good response to topical treatment with terbinafine or sertaconazole in 100% of cases. The isolated etiological agents differ according to the geographical area where the study is carried out and new agents are reported that must be known given the wide interconnectivity between different geographical areas as well as the predisposing factors in the pediatric population that to date have not been clearly defined. These data must be proved with larger studies that allow to recognize patients that come to their medical appointment with this pathology. Tinea facie should have a CID-10 that identifies it, in order to have information from different geographical areas, since the isolation of new agents whose sensitivity to antifungals in use is necessary to know is reported. Finally, it is necessary to beware to new forms of clinical presentation due to the use of masks by COVID-19.

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Periocular Tinea Faciei

Cited by 3 publications

References 2 publications

Case Report and Literature Review of Impetigo-Like Tinea Faciei

Case Report and Literature Review of Impetigo-Like Tinea Faciei

Answer to: Acquired causes of eyebrow and eyelash loss: A review and approach to diagnosis and treatment

Tinea Faciei in Children: A Case Series at the Instituto Nacional de Salud del Niño-Breña (Lima-Peru)

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