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February 1981

Tinea Faciei Coexistent With Discoid Lupus Erythematosus

Author Affiliations

From the Department of Dermatology, Emory University School of Medicine, Atlanta. Dr Demetree is now in private practice in Bradenton, Fla. Dr Safer is now in private practice in Albany, Ga. Dr Lang is now with the University of South Carolina, Charleston.

Arch Dermatol. 1981;117(2):121-122. doi:10.1001/archderm.1981.01650020063031

Tinea faciei is an uncommon dermatophyte infection that involves the face. It is a protean entity that is capable of mimicking several other dermatoses, eg, chronic discoid lupus erythematosus (LE), systemic LE, polymorphous light eruption, and contact dermatitis.1

There are 11 cases of tinea faciei simulating chronic discoid LE reported in the literature. Most of these have been caused by Trichophyton rubrum.1-4 In each case the lesions resolved after appropriate antifungal therapy.

A patient with tinea corporis who also had tinea faciei coexistent with active chronic discoid LE of the face.

Report of a Case  A 21-year-old woman complained of a pruritic, scaling rash on her thighs that gradually progressed during a two-year period to involve the gluteal, inguinal, axillary, and inframammary regions. Approximately nine months before seeking medical attention, she noted involvement of her malar regions. There were no other associated dermatologic complaints, and her medical history

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