Abstract

Tinea corporis is a communal dermatophytosis which involves smooth skin, excluding for the scalp, hair, palms, nails, and genital area. The risk factors for widespread dermatophytosis include genetic defects chronic diseases, immunosuppressive therapy, and misdiagnosis or delayed diagnosis.

In the current study, we report a case of systemic lupus erythematosus complicating multiplex tinea corporis

Case Report

A 74-year-old man came with wide erythema all over the body since 4 years ago, fungal infection of left eye for 2 years. These symptoms had become intensified in the last 2 months. Dermatological examinations revealed extensive erythematous plaques with clear borders and scales, scattered red papules with ulceration, and scabs throughout the body. Onychomycosis was observed on the nails of left hand, conjunctival infection with secretion and loss of vision were noted in left eye. Cutaneous symptoms had become aggravated in the last month. Dermatological examinations showed extensive erythematous plaques with clear borders and scales, scattered red papules with ulceration, and scabs throughout the body.. A diagnosis of dermatophytosis and keratomycosis caused by T. interdigitale with loss of vision in left eye was made. The patient was treated with luliconazole cream (two applications per day) and itraconazole. Complete clinical remission was achieved after 1 month.  There has been no recurrence during 3 months of follow-up.

Conclusion

In the present study, we reported a case of dermatophytosis and keratomycosis caused by T. interdigitale, and reviewed the literature on corneal infection caused by Trichophyton. A total of 10 articles with 45 patients were published between 1973 and 2018. The pathogen of 27 patient were identified to species level.

Direct microscopic examination, fungal culture, and analysis of physiological characteristics were the main methods of identification. Early diagnosis and prompt treatment may help improve the management and outcomes.

Suggested Reading

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