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International Journal of Current Microbiology and Applied Sciences (IJCMAS)
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National Academy of Agricultural Sciences (NAAS)
NAAS Score: *5.38 (2019)
[Effective from January 1, 2019]
For more details click here

ICV 2017: 100.00
Index Copernicus ICI Journals Master List 2017 - IJCMAS--ICV 2017: 100.00
For more details click here

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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706
Issues : 12 per year
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Editor-in-chief: Dr.M.Prakash
Index Copernicus ICV 2017: 100.00
NAAS RATING 2018: 5.38

Int.J.Curr.Microbiol.App.Sci.2017.6(12): 1286-1294
DOI: https://doi.org/10.20546/ijcmas.2017.612.145


Clinical Manifestations and Diagnostic Challenges of Tinea faciei
Kushwaha Pragya, Thakur Rameshwari, Kumar Harish and Avneet Singh Kalsi*
Department of Dermatology and Microbiology, Muzaffarnagar Medical College, Opp. Beghrajpur Industrial Area, Meerut Road, Muzaffarnagar, U.P., India
*Corresponding author
Abstract:

Dermatophyte infections are common superficial fungal infections and are prevalent all over the world. Some dermatophytes are cosmopolitan in distribution, while others are geographically restricted. In an immunocompetent host, the lesions have typical appearance of being annular and scaly with central clearing. But, in patients with HIV/AIDS or any other immunosuppression, the lesions can be extensive and without central clearing. Recently, the Indian scenario has changed due to inadvertent use of topical steroids and we often come across atypical and extensive lesions without central clearing. Due to sudden rise in the incidence of tinea faciei for the past few years, a study was conducted in detail in the current clinical pattern and mode of transmission of tinea faciei and to isolate the dermatophyte associated with it. Patients with typical and atypical dermatophytic lesions and KOH and/or culture positive were included in the study. Samples were collected from the affected area after cleaning the part with 70% ethyl alcohol. Samples were planted on Sabouraud Dextrose Agar (SDA), supplemented with chloramphenicol and cycloheximide. The commonest clinical pattern of tine faciei in males was ill-defined scaly lesions without signs of inflammation 15(35.71%) and in females, erythematous plaques with pustules and without central clearing, was the commonest lesion 16(44.44%). None of the patient had any immunosuppression except few had diabetes mellitus. Out of a total 78 samples, 57 (73.07%) were Trichophyton interdigitale, one case (1.28%) was due to Trichophyton violaceum and no other species were found. Nearly 30% of the patients couldn’t recollect the name of the topical cream used by them. Molecular typing of the isolates was not done. Tinea faciei should be considered as a separate clinical entity. Some of the facial lesions can mimic other clinical conditions and we are coming across more cases of tinea faciei as compared to reported in the past. Awareness among the patients has to be created about taking appropriate treatment from the dermatologists; otherwise it may lead to an epidemic, difficult to control.


Keywords: Tinea faciei, Trichophyton interdigitale, Trichophyton violaceum.
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How to cite this article:

Kushwaha Pragya, Thakur Rameshwari, Kumar Harish and Avneet Singh Kalsi. 2017. Clinical Manifestations and Diagnostic Challenges of Tinea faciei.Int.J.Curr.Microbiol.App.Sci. 6(12): 1286-1294. doi: https://doi.org/10.20546/ijcmas.2017.612.145