Encountering steroid treatment induced tinea incognito: a case report

Tinea incognito refers to a type of dermatophyte infection that affects the skin, and its signs symptoms upon presentation tend appear permutated due prior use immunosuppressants, corticosteroids or calcineurin inhibitors. We present 42-year-old Asian (Indian) male patient with scaly erythematous rashes, mimicking annular erythema, developing post-corticosteroid usage after an elective hair transplant procedure. The results biopsy reported erythema annulare centrifugum (EAC) was absent, sample suggestive potential infective folliculitis. By day 3 presentation, fungal stain tested positive for presence infection. Based on this, final diagnosis tinea made. treatment prescribed anti-fungal tablet Itraconazole at dose 100 mg twice 4 weeks, topical luliconazole, ciclopirox anti-histamines itching. Topical can change clinical appearance by reducing scaling while enabling fungus grow freely without presenting typical indications tinea. Practitioners should follow patients corticosteroid alert them cutaneous problems possible infections, whenever warranted.