title: Tinea nigra presenting speckled or "salt and pepper" pattern.
abstract: A 7-year-old Caucasian female resident of the southern coast of Brazil presented dark spots on the left palm that converged to a unique macule with speckled pattern at about 1 month. The mycological exam and the fungi culture were typical of Hortaea werneckii, the agent of the superficial mycosis Tinea nigra. The patient received butenafine hydrochloride 1% for 30 days, resulting in a complete remission of the lesion. At a follow-up visit 12 months after treatment, there was no lesion recurrence. We describe a form of rare geographical Tinea nigra with a speckled pattern. The "salt and pepper" aspect should be taken into consideration when the mycosis was suspected.
authors.forename: André Luiz
authors.initials: AL
authors.lastname: Rossetto
authors.forename: Rosana Cé Bella
authors.initials: RCB
authors.lastname: Cruz
authors.forename: Vidal
authors.initials: V
authors.lastname: Haddad
mesh_terms: D000287:Administration, Topical; D000935:Antifungal Agents / Q000008:administration & dosage*; D001203:Ascomycota / Q000166:cytology / Q000302:isolation & purification*; D001596:Benzylamines / Q000008:administration & dosage*; D001938:Brazil; D002648:Child; D005260:Female; D006229:Hand Dermatoses / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D025282:Mycelium; D009281:Naphthalenes / Q000008:administration & dosage*; D013172:Spores, Fungal; D014005:Tinea / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents; D001596:Benzylamines; D009281:Naphthalenes; C067594:butenafine