Skip to main content
Erschienen in: Wiener Medizinische Wochenschrift 23-24/2013

01.12.2013 | case report

Tinea atypica: report of nine cases

verfasst von: Assoc. Prof. Liliya Georgieva Zisova, Assoc. Prof. Hristo Petrov Dobrev, Assoc. Prof. Georgi Tchernev, Kristina Semkova, MD, PhD, Anastasia Atanasova Aliman, Kristina Ivanova Chorleva, Antonina Teneva Chapanova, Nina Ivanova Vutova, Prof. Uwe Wollina, MD

Erschienen in: Wiener Medizinische Wochenschrift | Ausgabe 23-24/2013

Einloggen, um Zugang zu erhalten

Summary

Fungal infections of the skin are a common condition, usually easy to diagnose and treat. When the infection is clinically mimicking another cutaneous disorder or when the clinical presentation is modified by the use of inappropriate treatment, it is referred to as tinea atypica or tinea incognito.
We report a series of nine cases of patients with tinea atypica, imitating and diagnosed initially as different skin diseases. Two patients were defined as pyoderma in the facial and pubic regions (caused respectively by Trichophyton mentagrophytes var. mentagrophytes and Microsporum canis) and one as herpes zoster ophthalmicus (caused by Trichophyton rubrum). Six additional patients were initially misdiagnosed: (1) Plaque-like formation of the skin misdiagnosed as an impetiginized eczema (with isolated agent Trichophyton verrucosum). (2) A rare form of skin infection of the hand caused by T. rubrum, imitating clinically cutaneous infection with tuberculum mulgentium. (3) Rosacea-like dermatitis with an isolated agent Fusarium. (4) A patient with the typical clinical symptoms of seborrheic dermatitis of the face (and with isolated T. rubrum as a causative agent). (5) Another patient presented with a widespread folliculitis by Trichophyton mentagrophytes. (6) In a patient with bullous pemphigoid and immunosuppression pemphigoid-like eruptions were caused by Malassezia pachydermatis and T. rubrum. The diagnosis in the presented cases was based on direct microscopic examination with KOH and a culture on Sabouraud agar.
After the diagnosis of tinea, treatment with topical and systemic antifungal agents was administrated, followed by complete clinical remissions in all cases.
The clinical manifestations of tinea atypica can mimic a large number of other dermatoses, which often leads to misdiagnosing, and as a consequence—to serious difficulties in the management of clinical symptoms and in offering appropriate therapy.
Literatur
1.
Zurück zum Zitat Rebell G, Taplin D. Dermatophytes, their recognition and identification. Miami: Coral Gables; 1970. Rebell G, Taplin D. Dermatophytes, their recognition and identification. Miami: Coral Gables; 1970.
4.
5.
Zurück zum Zitat Crawford KM, Bostrom P, Russ B, Boyd J. Pimecrolimus-induced tinea incognito. Skinmed. 2004;3:352–3.PubMedCrossRef Crawford KM, Bostrom P, Russ B, Boyd J. Pimecrolimus-induced tinea incognito. Skinmed. 2004;3:352–3.PubMedCrossRef
6.
Zurück zum Zitat Siddalah N, Erickson O, Miller G, Elston DM. Tacrolimus-induced tinea incognito. Cutis. 2004;73:237–8. Siddalah N, Erickson O, Miller G, Elston DM. Tacrolimus-induced tinea incognito. Cutis. 2004;73:237–8.
7.
Zurück zum Zitat Rallis E, Koumantaki-Mathioudaki E. Pimecrolimus induced tinea incognito masquerading as intertriginous psoriasis. Mycoses. 2008;51:71–3.PubMed Rallis E, Koumantaki-Mathioudaki E. Pimecrolimus induced tinea incognito masquerading as intertriginous psoriasis. Mycoses. 2008;51:71–3.PubMed
8.
Zurück zum Zitat Atzori L, Pau M, Aste N, Aste N. Dermatophyte infections mimicking other skin diseases: a 154-person case survey of tinea atypica in the district of Cagliari (Italy). Int J Dermatol. 2012;51(4):410–5.PubMedCrossRef Atzori L, Pau M, Aste N, Aste N. Dermatophyte infections mimicking other skin diseases: a 154-person case survey of tinea atypica in the district of Cagliari (Italy). Int J Dermatol. 2012;51(4):410–5.PubMedCrossRef
9.
Zurück zum Zitat Won-Jeong K, Tae-Wook K, Je-Ho M, Margaret S, Hoon-Soo K, Hyun-Chang K, et al. Tinea incognito in Korea and its risk factors: nine-year multicenter survey. J Korean Med Sci. 2013;28:145–51.CrossRef Won-Jeong K, Tae-Wook K, Je-Ho M, Margaret S, Hoon-Soo K, Hyun-Chang K, et al. Tinea incognito in Korea and its risk factors: nine-year multicenter survey. J Korean Med Sci. 2013;28:145–51.CrossRef
10.
11.
Zurück zum Zitat Arenas R. Atlas dermatología. Diagnóstico y tratamiento. 3rd ed. Mexico: McGraw-Hill; 2005. p. 387–91. Arenas R. Atlas dermatología. Diagnóstico y tratamiento. 3rd ed. Mexico: McGraw-Hill; 2005. p. 387–91.
12.
Zurück zum Zitat Nenoff P, Mügge C, Herrmann J, Keller U. Tinea faciei incognito due to Trichophyton rubrum as a result of autoinoculation from onychomycosis. Mycoses. 2007;50(Suppl 2):20–5.PubMedCrossRef Nenoff P, Mügge C, Herrmann J, Keller U. Tinea faciei incognito due to Trichophyton rubrum as a result of autoinoculation from onychomycosis. Mycoses. 2007;50(Suppl 2):20–5.PubMedCrossRef
13.
Zurück zum Zitat Tchernev G, Cardoso JC, Ali MM, Patterson JW. Primary onychomycosis with granulomatous Tinea faciei. Braz J Infect Dis. 2010 Sep-Oct;14(5):546–7. Tchernev G, Cardoso JC, Ali MM, Patterson JW. Primary onychomycosis with granulomatous Tinea faciei. Braz J Infect Dis. 2010 Sep-Oct;14(5):546–7.
14.
Zurück zum Zitat Tchernev G, Penev PK, Nenoff P, Zisova LG, Cardoso JC, Taneva T, Ginter-Hanselmayer G, Ananiev J, Gulubova M, Hristova R, Nocheva D, Guarneri C, Martino G, Kanazawa N. Onychomycosis: modern diagnostic and treatment approaches. Wien Med Wochenschr. 2013 Jan;163(1–2):1–12.PubMedCrossRef Tchernev G, Penev PK, Nenoff P, Zisova LG, Cardoso JC, Taneva T, Ginter-Hanselmayer G, Ananiev J, Gulubova M, Hristova R, Nocheva D, Guarneri C, Martino G, Kanazawa N. Onychomycosis: modern diagnostic and treatment approaches. Wien Med Wochenschr. 2013 Jan;163(1–2):1–12.PubMedCrossRef
16.
Zurück zum Zitat Pustisek N, Skerlev M, Basta-Juzbasic A, Lipozencic J, Marinovic B, Bukvic-Mokos Z. Tinea incognito caused by Trichophyton mentagrophytes. Acta Dermatovenerol Croat. 2001;9:283–6.PubMed Pustisek N, Skerlev M, Basta-Juzbasic A, Lipozencic J, Marinovic B, Bukvic-Mokos Z. Tinea incognito caused by Trichophyton mentagrophytes. Acta Dermatovenerol Croat. 2001;9:283–6.PubMed
17.
Zurück zum Zitat Mahmoudabadi AZ. First case of Microsporum ferrugineum from Iran. Mycopathologia. 2006;161:337–9.PubMedCrossRef Mahmoudabadi AZ. First case of Microsporum ferrugineum from Iran. Mycopathologia. 2006;161:337–9.PubMedCrossRef
18.
Zurück zum Zitat Romano C, Asta F, Massai L. Tinea incognito due to Microsporum gypseum in three children. Ped Dermatol. 2000;17:41–4.CrossRef Romano C, Asta F, Massai L. Tinea incognito due to Microsporum gypseum in three children. Ped Dermatol. 2000;17:41–4.CrossRef
19.
Zurück zum Zitat del Boz J, Crespo V, Rivas-Ruiz F, de Troya M. Tinea incognito in children: 54 cases. Mycoses. 2011 May;54(3):254–8.PubMedCrossRef del Boz J, Crespo V, Rivas-Ruiz F, de Troya M. Tinea incognito in children: 54 cases. Mycoses. 2011 May;54(3):254–8.PubMedCrossRef
Metadaten
Titel
Tinea atypica: report of nine cases
verfasst von
Assoc. Prof. Liliya Georgieva Zisova
Assoc. Prof. Hristo Petrov Dobrev
Assoc. Prof. Georgi Tchernev
Kristina Semkova, MD, PhD
Anastasia Atanasova Aliman
Kristina Ivanova Chorleva
Antonina Teneva Chapanova
Nina Ivanova Vutova
Prof. Uwe Wollina, MD
Publikationsdatum
01.12.2013
Verlag
Springer Vienna
Erschienen in
Wiener Medizinische Wochenschrift / Ausgabe 23-24/2013
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI
https://doi.org/10.1007/s10354-013-0230-4

Weitere Artikel der Ausgabe 23-24/2013

Wiener Medizinische Wochenschrift 23-24/2013 Zur Ausgabe