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February 1996

Tinea Corporis Resembling Dermatophyte Colonies on Sabouraud's Agar in a Patient With the Human Immunodeficiency Virus

Author Affiliations

Department of Dermatology University of Milan IRCCS Ospedale Maggiore Via Pace 9 20122 Milan, Italy


Arch Dermatol. 1996;132(2):233-234. doi:10.1001/archderm.1996.03890260137025

Tinea corporis is usually characterized by round erythematous lesions with desquamation of the border, a result of centrifugal growth of the fungal lesion.

The skin of patients who test positive for the human immunodeficiency virus (HIV) often have dermatologic lesions that are difficult to diagnose because they are more severe or chronic than usual or have an atypical distribution.1 Oral and vaginal candidiasis, tinea pedis, onychomycosis, and deep mycotic infections have been the most frequently reported fungal infections in these patients, especially when CD4 lymphocyte depletion is found in laboratory tests.2,3 We describe a young HIV-positive woman with a curious papulosquamous lesion on her right lower leg, initially diagnosed as psoriasis. Microscopic examination of skin scrapings revealed spores and hyphae, making this lesion resemble Microsporum gypseum colonies grown on a Sabouraud culture medium.

Report of a Case.  A 32-year-old woman, who had been an intravenous drug abuser since

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