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.
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.
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.
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.
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.
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.
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.
A 30-year-old man presented with widespread slightly pruritic very well demarcated red brownish patches covered with bran-like scales. The rash involved the trunk, neck and arms of many months duration.