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Atypical tinea corporis, characterized by clinical manifestations that resemble other skin disorders, can lead to misdiagnosis and delayed treatment. This 67-year-old male had a seven-month history of pruritic skin lesions resembling subcorneal pustular dermatosis. Dermatological exam and fungal culture confirmed -induced atypical tinea corporis. After oral itraconazole treatment, he developed symmetrical eczematous lesions (Id reaction) on his extremities. Initial treatment was ineffective, so upadacitinib was administered, resulting in significant improvement at eight weeks. This case highlights atypical tinea presentations, Id reactions, and introduces upadacitinib as a novel treatment option for refractory Id reactions.
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http://dx.doi.org/10.1016/j.idcr.2025.e02300 | DOI Listing |
Indian J Dermatol Venereol Leprol
August 2025
Department of Dermatology, Venereology and Leprology, All India Institute of Medical Sciences, New Delhi, India.
Sexually transmitted infections (STIs), including traditionally curable diseases like syphilis and gonorrhoea, have seen a recent resurgence. Concurrently, newer atypical infections presenting as STIs have emerged, driven by changes in pathogen virulence, host behaviours, and environmental factors. The spectrum of STIs is expanding due to evolving behaviours, globalisation, and pathogen adaptability.
View Article and Find Full Text PDFMedicine (Baltimore)
August 2025
Department of Dermatology, Hanzhong Central Hospital, Hanzhong, China.
Rationale: Atypical tinea lesions can exhibit diverse manifestations. Positive fungal microscopy results confirmed the diagnosis of tinea incognito and other forms of atypical tinea. Patients may concurrently suffer from fungal and bacterial coinfections, requiring physicians to carefully observe, accurately assess, and implement treatments that target both fungi and bacteria.
View Article and Find Full Text PDFJ Dtsch Dermatol Ges
July 2025
Department of Dermatology, Venereology and Allergology, Division of Evidence-Based Medicine in Dermatology (dEBM), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Background And Objectives: Sexually transmitted infections with Trichophyton mentagrophytes type VII (TMVII) have been reported in several countries. The aim of our study was to identify epidemiological and clinical features in order to improve prevention, diagnosis, and treatment.
Patients And Methods: Patients with culture-confirmed TMVII infection diagnosed between 2020 and 2024 at the Department of Dermatology, Charité - Universitätsmedizin Berlin, Germany, were included.
Mycoses
July 2025
Mediprobe Research Inc, London, Ontario, Canada.
Sexually transmitted dermatophyte infections are an emerging public health concern, with increasing incidence reported across multiple countries. These infections are mainly spread through direct skin-to-skin contact during sexual activity and are more commonly found in individuals with high-risk sexual practices. The likelihood of infection is heightened by frequent pubic hair grooming or regular use of shared spaces like gyms and saunas.
View Article and Find Full Text PDFIDCases
June 2025
Department of Dermatology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, China.
Atypical tinea corporis, characterized by clinical manifestations that resemble other skin disorders, can lead to misdiagnosis and delayed treatment. This 67-year-old male had a seven-month history of pruritic skin lesions resembling subcorneal pustular dermatosis. Dermatological exam and fungal culture confirmed -induced atypical tinea corporis.
View Article and Find Full Text PDF