Facial tinea incognito: a clinical, dermoscopic and mycological study of 38 cases (notice n° 604646)

détails MARC
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fixed length control field 02742cam a2200313 4500500
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control field 20250121155419.0
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Language code of text/sound track or separate title fre
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Authentication code dc
100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Kwak, Hyun-Bin
Relator term author
245 00 - TITLE STATEMENT
Title Facial tinea incognito: a clinical, dermoscopic and mycological study of 38 cases
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2023.<br/>
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General note 18
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Summary, etc. Background: Tinea incognito (TI) is a dermatophytic infection of the skin that is modified by steroid use. As a result, it shows atypical clinical presentations that can lead to misdiagnosis. TI occurring on the face is most frequently misdiagnosed as cutaneous fungal infection, however, very limited information is available on facial TI. Objectives: This study aimed to characterize the clinical, dermoscopic and mycological features of facial TI. Materials & Methods: We retrospectively evaluated 38 patients with mycologically proven facial TI at a single institution in Korea between July, 2014 and July, 2021. Results: The patients had a mean age of 59.6 ± 20.4 years and showed a slight female predominance (male-to-female ratio of 1:1.38). The most common clinical presentation was an eczema-like pattern (47.4%), followed by rosacea-like (15.8%), psoriasis-like (10.5%), lupus erythematosus-like (10.5%), cellulitis-like (7.9%), and folliculitis-like (7.9%) patterns. The mean duration from disease onset to diagnostic confirmation was 3.4 months. Overall, 78.9% of the patients had accompanying chronic systemic diseases, and 57.9% had concurrent tinea infections at other skin sites, mainly the feet and toenails. On dermoscopy, scales and dilated vascular patterns (arborizing vessels and telangiectasia) were commonly observed on glabrous skin, with follicular patterns, such as black dots, broken hairs, and empty follicles. The characteristic trichoscopic features were comma, corkscrew, Morse code-like, and translucent hairs. Conclusion: The clinical characteristics and distinct dermoscopic features described in this article may aid in the differential diagnosis of facial TI while reducing diagnostic delays and unnecessary treatments.
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Topical term or geographic name as entry element microsporum
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Topical term or geographic name as entry element face
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Topical term or geographic name as entry element tinea incognito
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Topical term or geographic name as entry element trichophyton
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Topical term or geographic name as entry element dermatophytes
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Topical term or geographic name as entry element dermoscopy
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Lee, Sang-Kyung
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Yoo, Hyo-Hyun
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Lee, Il-Jae
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Lee, Geon-Jong
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Nam, Kyung-Hwa
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Yun, Seok-Kweon
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Park, Jin
Relator term author
786 0# - DATA SOURCE ENTRY
Note European Journal of Dermatology | 33 | 2 | 2023-03-01 | p. 101-108 | 1167-1122
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/revue-european-journal-of-dermatology-2023-2-page-101?lang=en&redirect-ssocas=7080">https://shs.cairn.info/revue-european-journal-of-dermatology-2023-2-page-101?lang=en&redirect-ssocas=7080</a>

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