A. Gorani

Case report. Rosacea-like Tinea incognito.

Summary.  We report a case of dermatophytosis of the face due to Microsporum canis that was exacerbated and altered clinically by a long‐term application of topical corticosteroids. We considered this case a rosacea‐like tinea incognito of the beard area.

Seborrheic Dermatitis‐like Tinea Faciei

Abstract:  We report a 10‐year‐old Caucasian child who had erythema and abundant scaling on the nasolabial folds, the upper lip, and on the nose. Both the abundant scaling and the localization on the central part of the face led us to suspect seborrheic dermatitis. Direct microscopic examination of some scales removed from the lesions showed septate and ramified ectothrix hyphae. Cultural examination on Sabouraud medium led to the identification of the Trichophyton mentagrophytes species. We described this patient to highlight the importance of considering tinea faciei in the differential diagnosis of all facial eruptions and the value of mycologic examination.

Case Report. Widespread tinea corporis due to Trichophyton rubrum.

Summary.  We report the case of a 36‐year‐old man who presented large erythematous plaques involving the trunk, face and extremities, since one month. Some of these lesions had a psoriasis‐like aspect, with abundant superficial scaling. Direct microscopic examination of scales removed from the plaques revealed numerous hyphae. Cultural examination lead to the identification of Trichophyton rubrum species. Our case of tinea corporis presented some peculiarities related both to the extension of the lesions and their clinical aspects.

Case Report. Tinea corporis purpurea

We report a case of tinea corporis purpurea localized to a calf in a 36‐year‐old woman. The patient, who was also affected by mild superficial venous insufficiency of lower limbs, complained of intense pruritus. Microsporum canis was the aetiological agent. Clinically atypical varieties of tinea corporis were sometimes reported in the literature, particularly in HIV‐positive patients, although they are uncommon in immunocompetent patients; in particular, tinea corporis purpurea is very rare.

Tinea pedis acquired in mosques

We present four cases of interdigital tinea pedis in Italian tourists which was probably acquired in Turkish mosques and holy Muslim places. In all patients mycological examinations were positive for Trichophyton rubrum. All patients were successfully treated with bifonazole cream (one application/day for three weeks). It is advisable for tourists to wear socks when visiting mosques and holy Muslim places.

The association of isoconazole–diflucortolone in the treatment of pediatric tinea corporis

Abstract Background: Tinea corporis is a common mycotic infection in children. Staphylococcus aureus superinfections may be observed in atopic children with tinea corporis suffering from severe pruritus and consequent scratching. Objective: From 2006 to 2011, we observed 288 children with mycologically proven tinea corporis. In 39 of them (13.5%) tinea corporis was superinfected by S. aureus: all these children were affected by atopic dermatitis. We interpreted these bacterial superinfections as the clinical result of scratching due to pruritus. Methods: In 2012, we decided to treat all children with a single lesion of tinea corporis with a combination of 1% isoconazole nitrate and 0.1% diflucortolone valerate cream (one application/day for 5–7 days), followed by a treatment with isoconazole or clotrimazole or ciclopirox cream (two applications/day for two weeks). Results: From 2012 to 2014, we observed 108 children with tinea corporis confirmed by mycological examinations. Clinical and mycological recovery was observed in 93 of them (86.1%). Only four of these children (3.7%) developed S. aureus superinfections. Conclusions: Our study in atopic children with tinea corporis superinfected by S. aureus confirms that a topical therapy with the association isoconazole–diflucortolone is useful and safe.