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Image Number 427 (Tinea faciei)


Diagnosis: Tinea faciei

Site: Cheek

Sex: F

Age: 7

Type: Clinical

Description: Red expanding scaly area cheek

Submitted by: Ian McColl

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Differential Diagnosis


This young lady had a month's history of an expanding scaly area on her cheek.She had used a topical steroid cream and a topical antifungal preparation without effect.Scrapings grew Trichophyton mentagrophytes.It was likely she had acquired it from her friend's guinea pig.The topical steroid would have encouraged the lesion to spread.Lamasil is a fungicidal topical cream and would have been the best topical to use.She responded to oral griseofulvin 125mgs BD.

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