Ichthyoses are a common group of keratinization disorders. A non-inflammatory
generalized persistent skin desquamation is observed. It is characterized by
increased cell turnover, thickening of the stratum corneum and functional changes of
sebaceous and sweat glands. All of these favor fungal proliferation. Dermatophytes
may infect skin, hair and nails causing ringworm or tinea. They have the ability to
obtain nutrients from keratinized material. One of its most prevalent genera is
Trichophyton rubrum. Although tineas and ichthyoses are quite common, the association
of the two entities is rarely reported in the literature. Three cases of ichthyosis
associated with widespread infection by T. rubrum are presented. Resistance to
several antifungal treatments was responsible for worsening of ichthyosis signs and
symptoms.
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