Tinea Faciei Simulating Chronic Discoid Lupus Erythematosus

Shanon, Jay; Raubitschek, F.

doi:10.1001/archderm.1960.01580020110029

Cited by 20 publications

(4 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Atypical presentations are more frequently observed in adults, and may be characterized by patches of erythema without scaling, simple papular lesions, or pustules (2). In these instances, the condition has often been confused with inflammatory and photosensitive dermatoses such as systemic or discoid lupus erythematous (3,4), contact dermatitis (5), acne rosacea (6,7), polymorphous light eruption (8,9), or seborrheic dermatitis (10,11). The application of topical steroids may modify the aspect still further.…”

Section: Discussionmentioning

confidence: 99%

Seborrheic Dermatitis‐like Tinea Faciei

Gorani

Oriani

Cambiaghi

2005

Pediatric Dermatology

View full text Add to dashboard Cite

We report a 10-year-old Caucasian child who had erythema and abundant scaling on the nasolabial folds, the upper lip, and on the nose. Both the abundant scaling and the localization on the central part of the face led us to suspect seborrheic dermatitis. Direct microscopic examination of some scales removed from the lesions showed septate and ramified ectothrix hyphae. Cultural examination on Sabouraud medium led to the identification of the Trichophyton mentagrophytes species. We described this patient to highlight the importance of considering tinea faciei in the differential diagnosis of all facial eruptions and the value of mycologic examination.

show abstract

Section: Discussionmentioning

confidence: 99%

Seborrheic Dermatitis‐like Tinea Faciei

Gorani

Oriani

Cambiaghi

2005

Pediatric Dermatology

View full text Add to dashboard Cite

show abstract

“…tions are common during childhood yet are frequently mistaken for other infections because of their pleomorphic appearance. Diverse presentations of tinea faciei have been reported in the literature, [1][2][3][4][5] but the subset of facial fungal infections involving the periorbital region has not been described in detail. Physicians are often unaware of tinea's capacity for targeting the periorbital area, specifically the eyelashes.…”

Section: Ermatophyte Infec-mentioning

confidence: 99%

Common Features of Periocular Tinea

Basak

Berk²,

Lueder³

et al. 2011

Arch Ophthalmol

View full text Add to dashboard Cite

To present the common features of periocular tinea to aid physicians in future diagnosis and therapy of this condition, because superficial fungal infections on the face are often misdiagnosed owing to the diverse morphologies that they manifest. This is especially true of dermatophytoses involving the periocular region.Methods: A retrospective review was performed of patients with a diagnosis of periocular tinea who were seen between January 2003 and September 2009 in the pediatric dermatology clinic at St. Louis Children's Hospital.Results: Ten cases of periocular tinea were identified (6 male patients and 4 female patients). Common features included prolonged misdiagnosis (all 10 cases), a normal ophthalmologic examination (all 10 cases), and inappropriate corticosteroid application (7 cases). Loss of the eyelashes occurred in all 10 patients. No cases had evidence of other tinea infections on examination. Only 2 cases had the central clearing classically associated with tinea corporis. Seven patients had a potassium hydroxide preparation and/or culture positive for fungal elements. Lesions improved with topical and oral antifungal treatment in all cases, and patients were able to regrow their eyelashes. Conclusion:Periocular tinea should be considered in the differential diagnosis for periocular inflammation, especially in those patients refractory to therapy for more common conditions. Loss of the eyelashes is characteristic of these fungal infections, similar to the hair loss that occurs in kerions associated with tinea capitis.

show abstract

“…It would appear that DLE is the clinical picture most often mimicked by this type of dermatophytosis [4][5][6], with which it has even been observed to coexist [7], Second in order of frequency of simulation were lym phocytic infiltration and seborrheic derma titis, followed by rosacea. The latter two manifestations are very similar in appear ance on the face.…”

Section: Commentmentioning

confidence: 99%

15-Year Survey of Tinea faciei in the Adult

et al. 1988

View full text Add to dashboard Cite

In a series of 100 adults with tinea faciei various dermatologic manifestations were mimicked, viz.: discoid lupus erythematosus in 52 patients, lymphocytic infiltration in 15, seborrheic dermatitis in 11, rosacea in 8, contacts dermatitis in 7, polymorphous light eruption in 4 and granuloma faciale in 3. Trichophyton rubrum was isolated in 78% of the respective cases, other isolated organisms being Microsporum canis (13 cases), Trichophyton violaceum in 6, Trichophyton mentagrophytes (asteroides) in 2 and Epidermophyton floccosum in 1 case. In 85% of these patients the nails were also involved by the same agent found in the lesions of the face. On the basis of these observations it is recommended that all adult patients with tinea faciei should undergo a comprehensive mycological investigation to find the primary focus, which may be an infected nail.

show abstract

Tinea Faciei Simulating Chronic Discoid Lupus Erythematosus

Cited by 20 publications

References 2 publications

Seborrheic Dermatitis‐like Tinea Faciei

Seborrheic Dermatitis‐like Tinea Faciei

Common Features of Periocular Tinea

15-Year Survey of Tinea faciei in the Adult

Contact Info

Product

Resources

About