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    Alejandro 2014

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    Eki Yazid An Nafi
    jrunal

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    Alejandro 2014

    Uploaded by

    Eki Yazid An Nafi
    19 views2 pages
    jrunal

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    © © All Rights Reserved

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    jrunal

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    19 views2 pages

    Alejandro 2014

    Uploaded by

    Eki Yazid An Nafi
    jrunal

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Journal of Pediatric Nursing (2014) 29, 195–196

    Correspondence

    Tinea faciei: An Old Friend Revisited griseofulvin 20 mg/kg, resulting in the complete resolution
    of the lesions 6 weeks later.
    Despite cutaneous fungal infections due to dermato-
    phytes have a well defined and characteristic clinical
    semiology, sometimes the long shadow of atopic dermatitis
    Discussion
    makes it easy to misdiagnose these entities, as in the
    following case report.
    A 2-year-old male patient presented to our clinic with a 6- Tinea faciei is a skin fungal infection due to dermato-
    week-history of facial lesions. Lesions appeared several days phytes. This condition is common on paediatric patients. Our
    after contact with a domestic cat. A 2-week-history of similar case shows the characteristic lesions, which may lead to a
    lesion on the beard was referred by the father of the patient. certain diagnosis. Besides, the characteristic history of
    With a primary diagnosis of atopic eczema, a treatment based animal contact and high contagiosity among relatives are
    on topical steroids and emollient creams was initiated with helpful to make the correct diagnosis (Kelly, 2012).
    no response after 4 weeks. Application of topical steroids may modify the clinical
    On clinical examination, three erythematous plaques were appearance of the lesion, which is known as T. incognito.
    located on forehead, right preauricular and submandibular The diagnosis of this condition can be challenging. In
    areas. The 7-cm sized plaque on preauricular area had scaly, addition, the topical steroid may spread the infection to
    erythematous active borders with a clear centre and isolated the follicles, which is known as trichophytic Majocchi
    pustules, showing the characteristic ring-shape (Figure 1). granuloma (del Boz, Crespo, & de Troya, 2012). The
    first-line therapy for T. faciei is griseofulvin 20 mg/kg
    for 6–8 weeks (Gupta, Cooper, & Bowen, 2008). Fungal
    cultures or direct examination should be performed before
    Diagnosis steroid application in facial lesions in order to distinguish
    eczema from dermatophytosis and avoid misdiagnosis.
    Trichophyton rubrum was isolated on the fungal culture. In conclusion, we report a case of T. faciei in
    The patient has an excellent therapeutic response to transformation to T. incognito caused by T. rubrum. This

    Figure 1 Round erythematous skin lesion on the right preauricular area with raised and desquamative border, concentric halo of apparently
    healthy skin and erythematous centre with follicular pustules. On the chin and forehead, satellite lesions of similar appearance.

    0882-5963/$ – see front matter © 2014 Elsevier Inc. All rights reserved.
    196 Correspondence

    case highlights the importance of clinical knowledge of References


    T. faciei and the value of performing complementary tests
    prior to starting the treatment. del Boz, J., Crespo, V., & de Troya, M. (2012). Pediatric tinea faciei in
    southern Spain: A 30-year survey. Pediatric Dermatology, 29,
    Molina-Leyva Alejandro MD 249–253. http://dx.doi.org/10.1111/j.1525-1470.2011.01535.x.
    Ruiz-Carrascosa Jose Carlos MD Gupta, A. K., Cooper, E. A., & Bowen, J. E. (2008). Meta-analysis:
    Griseofulvin efficacy in the treatment of tinea capitis. Journal of Drugs
    Department of Dermatology in Dermatology, 7, 369–372.
    San Cecilio University Hospital Kelly, B. P. (2012). Superficial fungal infections. Pediatrics in Review, 33,
    University of Granada, Granada, Spain e22–e37. http://dx.doi.org/10.1542/pir.33-4-e22.
    E-mail address: [email protected]

    http://dx.doi.org/10.1016/j.pedn.2013.11.010

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