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Image Number #4590 (Tinea incognito)

Diagnosis: Tinea incognito

Description: Red scaly plaques with active borders.

Morphology: Red,scaly

Site: Thigh

Sex: M

Age: 31

Type: Clinical

Submitted By: Nameer Al-Sudany

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Differential Diagnosis
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History:

Based on a wrong diagnosis (mechanical intertrigo) this patient had been treated with potent topical corticosteroid for more than two month. After a period of exacerbations and partial remissiopns on topical cs the patient presented with itchy red scaly plaques with slightly elevated active borders on both thighs. KOH preparation was positive for dermatophytes and the patient had been cured with oral griseofulvin for 6 weeks. 

DermNetNZ   eMedicine   PubMed   Dermatology Online   Archives   JAAD for "Tinea incognito"

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