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Long-Standing Tinea Corporis
Published on OBGYN.Net (http://www.obgyn.net)
Long-Standing Tinea Corporis
September 14, 2005
By Joe Monroe, PA-C [1]
For more than 20 years, a 55-year-old man had a faintly erythematous,
papulosquamous rash with arciform borders on his groin and waistline. The rash had been treated
with a variety of medications. Topical and oral antifungals and antibiotics and topical corticosteroids
had been used but to no avail. No laboratory tests had been performed.
For more than 20 years, a 55-year-old man had a faintly erythematous, papulosquamous rash with
arciform borders on his groin and waistline. The rash had been treated with a variety of medications.
Topical and oral antifungals and antibiotics and topical corticosteroids had been used but to no avail.
No laboratory tests had been performed.
A potassium hydroxide preparation demonstrated abundant hyphae; tinea corporis was diagnosed.
Oral terbinafine, 250 mg/d for 2 weeks, and terbinafine spray, used twice daily for 1 month,
controlled—but did not cure—the condition. The patient apparently was very susceptible to the
fungal organisms, which had contaminated his environment, including clothes, bedding, and carpet,
for more than 2 decades.
The patient was advised to use miconazole powder daily and occasional applications of terbinafine
spray indefinitely to control the infection.
Source URL: http://www.obgyn.net/articles/long-standing-tinea-corporis
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[1] http://www.obgyn.net/authors/joe-monroe-pa-c
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