Tinea faciei

Tinea faciei

Chris Schach

Author Bio -

 Key points
* Condition results in facial infection due to a dermatophyte fungue, more commonly known as ringworm.
* Condition is frequently misdiagnosed, and can be contracted from humans, prior infected areas, or animals.
* Condition results in round/oval red scaly patches, aggravated by sun exposure, that may be sudden or slow spreading.

Tinea faciei is the condition where the face is infected with a dermatophyte fungus, more commonly known as ringworm. This does not include infection of the beard/moustache area (tinea barbae) or of the scalp (tinea capitis). Tinea faciei is uncommon and often misdiagnosed.

Tinea faciei can be due to an human fungus such as trichophyton rubrum, coming from prior tinea infections of the feet (tinea pedis) or nails (tinea unguium) originally. Animal fungi such as Microsporum canis, from cats and dogs, and trichophyton verrucosum, from farm cattle, are also common causes.

Tinea faciei resembles tinea corporis (ringworm). It may have a sudden onset and rapid spread or a slow extension of a mild, barely inflamed rash. There are round or oval red scaly patches, often less red and scaly in the middle or healed in the middle, frequently aggravated by sun exposure.

Differential Diagnosis (Other conditions with similar appearance)

    Granuloma annulare
    Lupus Erythematosis
    Perioral Dermatitis
    Pityriasis alba
    Pityriasis rosea
    Polymorphous light eruption
    Seborrheic Dermatitis

    Key Points
    * Diagnosis is confirmed by clinical inspection and skin scrapings.

    The diagnosis of tinea faciei is confirmed by clinical inspection through microscopy and culture of skin scrapings.

    Key Points
    * Treatment consists of antifungal remedies.

    Most cases of tinea faciei are curable with topical antifungal agents or oral antifungals.

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