Tinea faciei is a relatively uncommon dermatophyte infection entailing atypical
clinical symptoms, usually misdiagnosed and treated with corticosteroids. The
authors describe a case of tinea faciei on the right eyebrow caused by
Trichophyton interdigitale. The patient was an 18-year-old
girl, who had an inflammatory plaque with a scaly, pustular surface on the right
eyebrow and upper eyelid, which had persisted for over 1 month. She was once
misdiagnosed as having eczema and was treated using corticosteroid cream. A
diagnosis of tinea faciei was made based on direct microscopy and culture. The
sequencing of the nuclear ribosomal ITS region and β-tubulin gene of the
isolate established its T. interdigitale lineage. The patient
was cured by treatment with systemic terbinafine in combination with topical
application of 1% naftifine-0.25% ketaconazole cream for 2 weeks.
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