All cases in Fungal Infections

Tinea incognito

Tinea incognito

Tinea incognito2

History

          A 4-year-old woman  had been treated wrongly with potent topical corticosteroid after being diagnosed as foot eczema. Later she presented with red scaly pruritic plaques on the dorsum of the foot (Psoriasiform or eczematous-like rash). KOH mount preparation of lesional scales yielded positive results of tinea infection (hyphae and spores). She responded well to systemic antifungal therapy.
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Tinea cruris and mannum

Tinea cruris and mannum

History

         Many clinical types of tinea infections may associate with each other i.e one type may predispose to other  and so may present in any combination, these types are: tinea cruris, tinea pedis, tinea unguium and tinea mannun. The current case is an example of such combinations (tinea cruris and tinea manum) of three months duration. KOH was positive and excellent response to systemic griseofulvin was obtained.
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Tinea corporis

Tinea corporis

History

          A 50-year-old woman presented with multiple pruritic rounded and oval plaques with more active margins and less active centres of four months duration. The lesions involved the wrist, thigh and one leg. Excoriation marks were evident and concentrated more at the periphery of the lesions.
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Tinea capitis

Tinea capitis

History

         A 5-year-old girl presented with a localized,non-cicatricial, rounded patch of hair loss with scaliness of the involved scalp area of three months duration. Excellent response to griseofulvin was obtained.
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Tinea corporis

Tinea corporis

History

          A teenager male presented with an itchy, active, circinate plaque studded with papules, vesicles and some pustules of one month duration on the dorsal surface of the wrist. The patient gave history of contact with domestic animals (birds) which may be the source of infection.
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Tinea faciei

Tinea faciei

History

          A 17-year-old wrestler presented with an oval red patch with a scaly erythematous margin and clear hypopigmented center. The patient described a relatively slow peripheral extension of the lesion over a period of three months. The patient gave history of contact during training matches with another wrestler who has had similar lesions on the face. Scraping of scales examined after KOH preparation revealed fungal hyphae and spores.
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Onychomycosis

Onychomycosis

History

          A 62-year-old man presented with chronic onychomycosis. On examination, mild paronychia, loss of cuticle of some nails, dirt-like yellowish-green nail pigmentation, subungual debris and dystrophy of some nails were seen. The condition started one year ago and involved both fingers’ and toes’ nails. The patient had no history of previous drug intake, diabetes mellitus or other causes of immunosuppression. Nail clipping yielded positive result for fungi.
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