Childhood tinea incognito caused by Trichophyton mentagrophytes var. interdigitale mimicking pustular psoriasis

Pediatr Dermatol. 2011 Nov-Dec;28(6):738-739. doi: 10.1111/j.1525-1470.2010.01380.x. Epub 2011 Mar 21.

Abstract

Tinea incognito refers to fungal infection whose clinical appearance is modified or aggravated by administration of systemic or topical corticosteroids. We report a case of pustular psoriasis-like tinea incognito caused by Trichophyton mentagrophytes var. interdigitale under topical corticosteroid therapy. Sequence analysis of the internal transcribed spacer 2 region, in addition to the D1D2 domain of the 26S ribosomal RNA gene, was helpful in identifying the fungal species.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Cortex Hormones / adverse effects
  • Antifungal Agents / therapeutic use
  • Child, Preschool
  • Diagnosis, Differential
  • Female
  • Humans
  • Imidazoles / therapeutic use
  • Naphthalenes / therapeutic use
  • Psoriasis / pathology*
  • RNA, Ribosomal / genetics
  • Terbinafine
  • Tinea / drug therapy
  • Tinea / microbiology*
  • Tinea / pathology*
  • Treatment Outcome
  • Trichophyton / genetics
  • Trichophyton / isolation & purification*

Substances

  • Adrenal Cortex Hormones
  • Antifungal Agents
  • Imidazoles
  • Naphthalenes
  • RNA, Ribosomal
  • RNA, ribosomal, 26S
  • Terbinafine
  • luliconazole