Facial pruritic skin rash in a Nigerian boy with atopic dermatitis

We present the case of a 4-year-old boy with annular, pruritic macules on face, not responsive to application topical immunosuppressive therapy for atopic dermatitis. Clinically, cracked surface and crusted, raised borders, slowly enlarging were observed boy's cheeks. Dermatoscopy evidenced centrifugal extension border hyperactivity, represented by multiple peripheral pustules, mainly follicular. At last, microscopy skin scrapings, showing fungal hyphae, permitted diagnosis tinea incognita. highlight need always suspecting incognita in pruritic, annular macules, immunosuppressants.