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August 1960

Tinea Faciei Simulating Chronic Discoid Lupus Erythematosus

Author Affiliations

Jerusalem, Israel

From the Department of Dermatology and Venereology (Felix Sagher, M.D., Director), Hadassah University Hospital.

Arch Dermatol. 1960;82(2):268-271. doi:10.1001/archderm.1960.01580020110029

Howell et al.1 reported two cases of scalp infection in adults caused by Trichophyton tonsurans in which the clinical lesions closely resembled chronic discoid lupus erythematosus. This paper reports four cases of chronic tinea faciei, due to different dermatophytes, simulating chronic discoid lupus erythematosus.

Report of Four Cases 

Case 1.—  The patient, a 65-year-old woman of dark complexion, complained of a symmetrical butterfly-like eruption on the nose and cheeks of eight years' duration. These lesions always flared up in summer when she was exposed to the sun. The patient also gave an eleven-year history of recurrent "inflammation" of the left foot accompanied by rise of temperature. She had been previously diagnosed as suffering from discoid lupus erythematosus and treated with gold injections without improvement.On inspection there were variously sized scaly red lesions with polycyclic, moderately well-defined, borders on the nose and cheeks. The central parts of the lesions showed

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