Universelle Dermatophytose (Tinea incognito) durch Trichophyton rubrum

Agostini, G.; Knöpfel, B; Difonzo, Elisa Margherita

doi:10.1007/s001050050235

Cited by 8 publications

(10 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…They may also be very unusual, resembling, e.g., erythema migrans, recently observed in Connecticut where Lyme disease is endemic 6 . Cases of diffuse tinea corporis have been reported, affecting only the skin, 7 or also with involvement of hair and nails 8 …”

Section: Discussionmentioning

confidence: 91%

“…6 Cases of diffuse tinea corporis have been reported, affecting only the skin, 7 or also with involvement of hair and nails. 8 In the first cases described by Ive & Marks [1], the dermatophytes isolated were T. rubrum and E. floccosum. Subsequent reports of tinea incognito have been sporadic and due also to T. mentagrophytes, 9 M. canis, 10 T. violaceum, 11 M. gypseum, 12 Trichophyton tonsurans 6 and especially T. rubrum.…”

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

Tinea incognito in Italy: a 15‐year survey

Romano

Maritati

Gianni

2006

Mycoses

View full text Add to dashboard Cite

Tinea incognito or steroid modified tinea is a dermatophytic infection in which topical or systemic steroids, administered as a result of dermatological misdiagnosis or preexisting pathologies, have modified the clinical appearance of the fungal infection, transforming the typical ringworm and mimicking other skin diseases. This is a retrospective study of the agents, clinical aspects, sources of infection of 200 cases (98 males, 102 females, mean age 42 years) of tinea incognito, observed in Siena and Milan, Italy, in the period 1987-2002. In order of decreasing frequency, Trichophyton rubrum, Trichophyton mentagrophytes, Epidermophyton floccosum, Microsporum canis, Microsporum gypseum, Trichophyton violaceum and Trichophyton erinacei were isolated. The clinical appearance of the infection was lupus erythematosus discoid-like, eczema-like, rosacea-like, especially on the face, impetigo-like and eczema-like on trunk and limbs. Less often the dermatophytosis resembled psoriasis, purpura, seborrhoic dermatitis and lichen planus. There was folliculitis in 9% of cases and dermatophytid in 3% of cases. Antimycotic therapy brought about clinical and mycological recovery in all patients except one, who had iatrogenic immunodepression.

show abstract

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 97%

Tinea incognito in Italy: a 15‐year survey

Romano

Maritati

Gianni

2006

Mycoses

View full text Add to dashboard Cite

show abstract

“…As a result of misdiagnosis, tinea facei is often treated with topical steroids and can lead to a clinical presentation called T. incognito. [1][2][3][4][5][6][7][8][11][12][13][14] Administration of potent topical steroids before microbiological diagnosis is one of the biggest problems in the management of fungal infections. It has been demonstrated that potent topical steroids can increase the numbers of hyphae present on the surface of the skin in fungal infections and change the appearance of the lesions.…”

Section: Discussionmentioning

confidence: 99%

A case of Tinea incognito diagnosed coincidentally

Şatana¹

2011

Jmid

View full text Add to dashboard Cite

Tinea incognito is a dermatophytosis of atypical clinical character, usually misdiagnosed and treated with corticosteroids. A 17-year-old girl had erythematous papules and pustules on her face, diagnosed earlier as allergy and mistreated by topical corticosteroids and antihistamines. Facial lesions had only been investigated by bacteriological methods. Propionibacterium acnes was isolated on blood agar. Culture plates of the patient were inadvertently kept in the laboratory for approximately two weeks until the growth of white powdery colonies, which were identified as Trichopyton mentagrophytes complex. Epithelial scrapings were collected again and reinvestigated by mycological methods; after two weeks T. mentagrophytes complex was isolated once again on culture media. Thus, the case was diagnosed accidentally as Tinea incognito. It was realized that the patient previously was misdiagnosed and mistreated by topical steroids. J Microbiol Infect Dis 2011; 1(2): 84-86Key words: Tinea incognito, dermatophyte, T. mentagrophytes Kazara tanı alan bir Tinea incognito olgusu ÖZETTinea incognito atipik klinik özellikleri olan bir dermatofitoz olup genellikle yanlış tanı alır ve yanlışlıkla kortikosteroitlerle tedavi edilir. Yüzünde eritematöz papül ve püstüller bulunan 17 yaşındaki kadın hasta, başlangıçta allerji sanılıp yanlışlıkla topikal kortikosteroitlerle tedavi edildi. Yüzdeki lezyonlar yalnızca bakteriyolojik yöntemlerle incelendi. Kanlı agarda Propionibacterium acnes izole edildi. Hastanın kültür plaklarının laboratuvarda kazara iki hafta bekletilmesi sonucunda, beyaz pudra gibi kolonilerin oluştuğu gözlendi ve bu kolonilerin Trichopyton mentagrophytes kompleks olduğu anlaşıldı. Hastadan tekrar deri kazıntı örneği alındı ve mikolojik metotlarla incelenerek iki hafta sonraki kültür ortamında T. mentagrophytes kompleksi yeniden izole edildi. Böylece olgu kazara Tinea incognito olarak tanı almış oldu. Hastanın önceden yanlış tanı aldığı ve yanlış olarak topikal steroid ile tedavi edildiği.anlaşıldı. Anahtar kelimeler: Tinea incognito, dermatofit, T. mentagrophytesTinea incognito is usually caused by T. rubrum, T. mentagrophytes, Epidermophyton flocosums, Microsporum canis, and M. gypseum.

show abstract

“…Als ausgedehntes Beispiel einer generalisierten Trichophytie wurde die "universale" Trichophytie 1995 erstmals beschrieben [5] …”

unclassified