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2008, Number 2

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Dermatología Cosmética, Médica y Quirúrgica 2008; 6 (2)

Atypical cutaneous dermatophytosis. Report of five cases

Manzano GP, Hernández HF, Méndez TLJ, García SR, Córdova ME, Palacios MY, Bazán ME, López MR

Language: Spanish
References: 21
Page: 114-117
PDF size: 287.10 Kb.


ABSTRACT

Steroid treatment or some immunosuppressive diseases can modify the typical dermatophytosis of glabrous skin, causing atypical patterns, including TINEA incognito, which can be mistaken with other dermatoses. “TINEA incognito” is not always associated with steroid treatment. We describe five patients with different systemic uncontrolled diseases which presented atypical cutaneous manifestations of dermatophytosis: two of them related with steroids treatment. Four dermatophytoses cases caused by Trichophyton Rubrum var. “Yellow” and one by T. Tonsurans. Using antifungal susceptibility microdilution in broth test, the isolated strains showed susceptibility to ketoconazole, itraconazole, fluconazole and terbinafine. The treatment was different for each patient and included oral fluconazole or terbinafine plus topical amorolfine (two cases). A clinical and mycological cure was obtained in six weeks.


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