title: Tinea Incognita in a Patient with Crest Syndrome: Case Report.
abstract: Tinea incognita is a dermatophytic infection that is difficult to diagnose, usually modified by inappropriate topical or systemic corticosteroid therapy. We report an extensive case of tinea incognita caused by the zoophilic dermatophyte Trichophyton mentagrophytes (var. granulosa) in a 49-year-old female patient with CREST (Calcinosis; Raynaud phenomenon; Esophageal involvement; Sclerodactyly; Teleangiectasia) syndrome. Immunocompromised patients, as well as patients with keratinization disorders, seem to be especially susceptible to dermatophytic infections with atypical clinical presentation that is sometimes bizarre and difficult to recognize. Therefore, close monitoring and mycological skin examination is recommended in order to avoid misdiagnosis and to give the patient the best chance of recovery.
authors.affiliation: Biljana Gorgievska-Sukarovska, MD, Dermatology and Venereology Unit, Zabok General Hospital, Bračak 8 , 49000 Zabok, Croatia; biljana.gs@gmail.com.
authors.forename: Biljana
authors.initials: B
authors.lastname: Gorgievska-Sukarovska
authors.forename: Mihael
authors.initials: M
authors.lastname: Skerlev
authors.forename: Lidija
authors.initials: L
authors.lastname: Žele-Starčević
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D017675:CREST Syndrome / Q000150:complications*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D014005:Tinea / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D014249:Trichophyton
chemical_list: D000935:Antifungal Agents