Clinico-Epidemiological and Mycological Aspects of Tinea Incognito in Iran: A 16-Year Study

    January 2011 in “ Nippon Ishinkin Gakkai Zasshi
    Akram Ansar, Mehdi Farshchian, Haleh Nazeri, Seyed Amir Ghiasian
    TLDR Tinea incognito in Iran commonly affects adults and mimics other skin conditions.
    A 16-year retrospective study in Iran (1993-2008) identified 56 cases of tinea incognito among 6325 suspected dermatophytosis patients. The mean age was 32.6 years, with a nearly equal gender distribution (29 males, 27 females). Tinea corporis was the most common infection (32.1%), predominantly affecting males, followed by tinea faciei (26.8%), tinea cruris (14.3%), tinea manuum (12.5%), tinea pedis (8.9%), and tinea capitis (5.4%). Clinical presentations varied widely, mimicking conditions like eczema, seborrhoeic dermatitis, pyoderma, folliculitis, and alopecia. Trichophyton verrucosum was the most frequently isolated species (33.9%), followed by T. mentagrophytes (28.6%), T. rubrum (12.5%), Epidermophyton floccosum (10.7%), Microsporum canis (8.9%), T. violaceum (3.6%), and T. schoenleinii (1.8%). This study was the first extensive investigation of tinea incognito in Iran, with etiological agents consistent with those in the general population.
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