CASE PRESENTATION - A Case of Extensive Tinea 36 yr female
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Mako Suganth B
CASE PRESENTATION - A Case of Extensive Tinea

36 yr female presented with well defined annular hyperpigmented scaly plaques over face,neck,trunk with involvement of both upper and lower limbs since 8 months

Diabetic

H/o partial clearance of lesions with flucanazole 150mg earlier for 8 weeks

No systemic signs of illness

Clinical improvement with oral Itraconazole 100mg twicw daily for a month

INVESTIGATIONS
KOH examination revealed numerous hyphae

Culture-Positive for Trichophyton rubrum

DISCUSSION
Local impaired immune responses in  some parts of the skin may explain the extensive dermatophyte infection in patients with normal immune status.

The great variations in clinical presentations are related to the species and strains of the fungus, the size of the inoculum, the body area, and the immune status of the host

Suman et al revealed T. rubrum is the main dermatophyte reported from India causing tinea corporis.

Lack of delayed hypersensitivity reaction in presence of a positive immediate hypersensitivity (IH) response to trichophytin antigen points toward the chronicity of disease

Current clinical scenario reveals  there is an increasing recognition of a rising trend of nonresponsive cutaneous dermatophytosis.
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Dr. S●●●●h M S
Dr. S●●●●h M S Dermatology
Seems to be academic of erythrasma. Woods' Lamp examination will confirm.
May 25, 2017Like2