Dermatophytosis caused by Microsporum gypseum is rare,
especially in infants, with few published cases. Diagnosis in this age group is
frequently delayed. We review the literature and report 4 new cases of tinea of
glabrous skin caused by M. gypseum mimicking eczema in infants. Considering new
and previously reported cases, half of patients were exposed to sand,
emphasizing the importance of this transmission vehicle in this age group. In
conclusion, although rare, dermatophytosis by M. gypseum should be part of the
differential diagnosis of inflammatory dermatosis in infants. A clinical
suspicion and the availability of culture are keys to the diagnosis.
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