Tinea Incognito: Case Report

Abstract

Tinea incognito (TI) is defined as absence of the classic annular configuration of tinea infection. It is caused by misuse of topical or systemic corticosteroids and less frequently by calcineurin inhibitors. Herein we present a 15-year-old boy presented with 8 months history of persistent mildly itchy skin lesions on his face. Patient used many topical treatments including steroid, but no improvement. Skin examination showed multiple well defined scaly patches and plaques on his face. Potassium hydroxide (KOH) microscopic examination and fungal culture revealed dermatophytes fungi. Itraconazole 200 mg capsules once daily for 2 weeks was prescribed. The skin lesions disappeared completely.