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The examination revealed an erythematous plaque with generalized furfuraceous desquamation and ring-shaped margins. It extended through the upper dorsal area, shoulders and neckline, surrounding the base of the neck. He also had similar lesions in the antecubital flexures (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The patient had applied topical corticosteroids without improvement and was under cyclosporine therapy for his eczema. Fungus culture was positive, confirming the suspected diagnosis: tinea incognito. It was treated with terbinafine 250<span class="elsevierStyleHsp" style=""></span>mg, one tablet a day for 8 weeks, with resolution of the lesions.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Tinea incognito is a dermatophytic infection whose clinical appearance can be altered by the use of corticosteroids or topical calcineurin inhibitors. Systemic treatments with immunosuppressants (cyclophosphamide, cyclosporine, azathioprine and methotrexate) have been associated with the spread of tinea. Any of these agents also masks the clinical presentation, as it happened in our case, and it may be years before it is correctly diagnosed.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Pérez-López I, Navarro-Triviño FJ, Martínez-López A, Ruiz-Villaverde R. Collarete descamativo. Med Clin (Barc). 2018;150:e23.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1650 "Ancho" => 2999 "Tamanyo" => 657386 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015000000008/v1_201805060427/S2387020618300755/v1_201805060427/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000015000000008/v1_201805060427/S2387020618300755/v1_201805060427/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020618300755?idApp=UINPBA00004N" ]
Journal Information
Vol. 150. Issue 8.
Pages e23 (April 2018)
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Vol. 150. Issue 8.
Pages e23 (April 2018)
Image in medicine
Desquamating collarette
Collarete descamativo
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3
Israel Pérez-López
, Francisco José Navarro-Triviño, Antonio Martínez-López, Ricardo Ruiz-Villaverde
Corresponding author
Unidad de Gestión Clínica de Dermatología Médico Quirúrgica y Venereología, Complejo Hospitalario Universitario de Granada, Granada, Spain
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