Tinea Faciei: Challenges in the Diagnosis

Dev, Tanvi; Saginatham, Himabindu; Sethuraman, Gomathy

doi:10.1016/j.jpeds.2017.03.044

Cited by 4 publications

(3 citation statements)

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“…However, tinea faciei caused by zoophilic dermatophytes is an acute process with a pronounced inflammatory phenotype 16 . Tinea faciei with typical features is relatively easy to diagnose, but tinea incognito is difficult to distinguish from similar diseases 10,17–19 . Some patients who are treated by long‐term topical or systemic glucocorticoid drugs or infected by zoophilic dermatophytes can progress into tinea incognito, which is also a concern.…”

Section: Discussionmentioning

confidence: 99%

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A survey of 701 cases of tinea faciei in Hangzhou, southeastern China, from 2018 to 2023

Li,

Zhi,

Xia

et al. 2024

Mycoses

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BackgroundTinea faciei, a specific dermatophytosis that affects the glabrous skin of the face, not only causes physical discomfort but also leads to greater psychological distress. Tinea faciei is a public health concern.ObjectivesTo analyse the epidemiological characteristics, responsible dermatophyte species and clinical features of tinea faciei in Hangzhou.MethodsData were obtained from the Laboratory Information System of the Mycology Laboratory and Medical Information System at a hospital in Hangzhou. Isolates were identified based on their macroscopic appearance and microscopic morphology.ResultsTinea faciei was diagnosed in 701 patients, involving 359 males and 342 females, aged between 2 months and 97 years. In total, 499 isolates (71.18%) were identified as Trichophyton rubrum. Anthropophilic isolates were identified in 297 (82.73%) males and 207 (60.53%) females (p < .01). Among patients with anthropophilic dermatophytes infection, 447 (88.69%) were adults. Zoophilic dermatophytes were isolated in 57 (15.88%) males and 130 (38.01%) females (p < .01), among whom 108 (57.75%) were children.ConclusionsAnthropophilic dermatophytes, especially T. rubrum, were the predominant cause of tinea faciei, while zoophilic dermatophytes were the most prevalent in children. Compared with men, women may be more susceptible to zoophilic dermatophytes.

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Section: Discussionmentioning

confidence: 99%

“…10,[17][18][19] Some patients who are treated by long-term topical or systemic glucocorticoid drugs or infected by zoophilic dermatophytes can progress into tinea incognito, which is also a concern. Expert staff should perform mycological examinations for suspected cases of tinea faciei in a timely manner to avoid delayed diagnosis.…”

mentioning

confidence: 99%

A survey of 701 cases of tinea faciei in Hangzhou, southeastern China, from 2018 to 2023

Li,

Zhi,

Xia

et al. 2024

Mycoses

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“… 1 The infection, when limited to the glabrous skin of the face, can present with many atypical lesions, including the impetigo-like symptoms we report here. 9 , 21 , 46 , 47 Because impetigo-like tinea faciei is rare and easily overlooked in clinical settings, we believe the misdiagnosis rate is high. Indeed, in our literary collection of 18 impetigo-like tinea faciei cases, 11 of the 18 cases were misdiagnosed before pathogen determination.…”

Section: Discussionmentioning

confidence: 99%

Case Report and Literature Review of Impetigo-Like Tinea Faciei

Zhang¹,

Ye²,

Wang³

et al. 2022

IDR

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Impetigo, commonly caused by bacteria, is characterized by lesions of pustules, bullae or golden yellow crusts; it is seldom caused by fungi. Here, we report one case of a 17-year-old female patient with a 1-month history of erythematous pustules on her left cheek. She was clinically diagnosed with “impetigo”, but did not respond to 1 week of treatment with topical mupirocin cream (antibacterial agent). We then saw that a fungal colony grew on the culture, which was identified as T. mentagrophytes based on the morphological and molecular characteristics. The patient was then diagnosed with tinea faciei and was topically treated with 0.2% ketoconazole cream twice per day for 7 days. Through a literature review, we found another 18 cases of impetigo-like tinea faciei with similar clinical manifestations and pathogenic characteristics. Among these, the most common causative agent was T. mentagrophytes complex, which frequently occurs in children and adolescents and exhibits no gender preferences. Systemic and topical antifungals such as terbinafine or itraconazole are effective for impetigo-like tinea faciei caused by T. mentagrophytes complex. However, prolonged course of impetigo in more than 50% cases highlights the importance of mycological examination when dealing with apparent antibiotic-resistant impetigo cases in clinical settings.

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Superficial Fungal Infections

Ranawaka¹

2020

Atlas of Dermatoses in Pigmented Skin

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Tinea Faciei: Challenges in the Diagnosis

Cited by 4 publications

References 5 publications

A survey of 701 cases of tinea faciei in Hangzhou, southeastern China, from 2018 to 2023

A survey of 701 cases of tinea faciei in Hangzhou, southeastern China, from 2018 to 2023

Case Report and Literature Review of Impetigo-Like Tinea Faciei

Superficial Fungal Infections

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