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Tinea Incognita in a Patient with Crest Syndrome: Case Report
Biljana Gorgievska-Sukarovska
; Dermatology and Venereology Unit, Zabok General Hospital, Zabok, Croatia
Mihael Skerlev
; Zagreb University School of Medicine, Department of Dermatology and Venereology, Zagreb University Hospital; Reference Laboratory for Dermatological Mycology and Parasitology of the Ministry of Health and Social Welfare of Republic of Croatia, Zagreb, Cro
Lidija Žele-Starčević
; Department of Clinical and Molecular Microbiology, Zagreb University Hospital, Zagreb, Croatia
Abstract
Tinea incognita is a dermatophytic infection that is difficult to diagnose, usually modified by inappropriate topical or systemic corticosteroid therapy. We report an extensive case of tinea incognita caused by the zoophilic dermatophyte Trichophyton mentagrophytes (var. granulosa) in a 49-year-old female patient with CREST (Calcinosis; Raynaud phenomenon; Esophageal involvement; Sclerodactyly; Teleangiectasia) syndrome. Immunocompromised patients, as well as patients with keratinization disorders, seem to be especially susceptible to dermatophytic infections with atypical clinical presentation that is sometimes bizarre and difficult to recognize. Therefore, close monitoring and mycological skin examination is recommended in order to avoid misdiagnosis and to give the patient the best chance of recovery.
Keywords
Hrčak ID:
147144
URI
Publication date:
16.10.2015.
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