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Tinea faciei mimicking discoid lupus erythematosus
Affiliations- Klinika Dermatologii, Dermatologii Dziecięcej i Onkologicznej Uniwersytetu Medycznego w Łodzi
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Abstract
We present a case of a female with inflammatory lesions on the face which were clinically diagnosed as tinea. Topical antifungal treatment was not helpful and direct microscopy and later culture were negative. Incisional biopsy for histopathology was taken and the report revealed discoid lupus erythematosus. As topical corticosteroids and oral chloroquine did not improve the skin lesions, 40 mg daily of oral prednisone was introduced, causing worsening of the lesions. Tinea incognito was diagnosed empirically and the patient was treated with oral itraconazole. All skin lesions resolved within 2 weeks. The patient admitted that guinea pigs she owned at the time were under the care of a veterinarian due to skin lesions.
Abstract
We present a case of a female with inflammatory lesions on the face which were clinically diagnosed as tinea. Topical antifungal treatment was not helpful and direct microscopy and later culture were negative. Incisional biopsy for histopathology was taken and the report revealed discoid lupus erythematosus. As topical corticosteroids and oral chloroquine did not improve the skin lesions, 40 mg daily of oral prednisone was introduced, causing worsening of the lesions. Tinea incognito was diagnosed empirically and the patient was treated with oral itraconazole. All skin lesions resolved within 2 weeks. The patient admitted that guinea pigs she owned at the time were under the care of a veterinarian due to skin lesions.
Keywords
tinea faciei; tinea incognito; discoid lupus erythematosus
About this articleTitle
Tinea faciei mimicking discoid lupus erythematosus
Journal
Issue
Article type
Case report
Pages
109-111
Published online
2019-10-24
Page views
2869
Article views/downloads
6765
DOI
Bibliographic record
Forum Dermatologicum 2019;5(4):109-111.
Keywords
tinea faciei
tinea incognito
discoid lupus erythematosus
Authors
Michał Niedźwiedź
Małgorzata Skibińska
Aleksandra Lesiak
