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Syn.: Tinea incognito.
Def .: Undiagnosed and undiagnosed mycosis with a clinical picture modified by the use of general and / or local corticosteroids or local immunomodulators.
Lock: Mostly on the face and neck.
Clinical signs of inflammation (pruritus, erythema, vesicles) are significantly relieved periodically after the use of topical corticosteroids, and after their discontinuation, exacerbation and re-spread of lesions. The most common misdiagnoses include: discoidal lupus, contact eczema, rosacea, contagious impetigo, psoriasis, seborrheic dermatitis, and lichen planus.
DL: Direct microscopic specimen lightened with KOH / DMSO reagent enables quick detection threads of the fungus in the epidermal scales suspected of being infected with fungi, while the culture of infected fragments of the epidermis on Sabouraud’s medium enables the identification of the species. Sometimes histopathological diagnostics with PAS test is indicated.
Treat: Treatment with topical modern antifungal preparations (imidazole derivatives) for 2-4 weeks. In the case of long-lasting infections affecting large areas of the skin, treatment is indicated oral azole preparations.
DR: Discoid lupus, eczema, psoriasis vulgaris, dandruff pink, seborrheic inflammation.
DIG. G-15. Mycosis incognito.
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