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ArtikelUncovering tinea incognito. Topical corticosteroids can mask typical features of ringworm.  
Oleh: Oklota, Carrie A. ; Brodell, Robert T.
Jenis: Article from Bulletin/Magazine
Dalam koleksi: POSTGRADUATE MEDICINE vol. 116 no. 01 (Jul. 2004), page 65-67.
Topik: Pearls In Dermatology
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  • Perpustakaan FK
    • Nomor Panggil: P08.K
    • Non-tandon: 1 (dapat dipinjam: 0)
    • Tandon: tidak ada
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Isi artikel53-year-old man presented with a rash on the right medial thigh that had been present for 2 years. During that time, he had been treated successively with desoximetasone 0.05% cream, augmented betamethasone dipropionate 0.05% cream, and betamethasone/ clotrimazole cream. The rash transiently improved with use of these medications but flared with any attempt to discontinue treatment. Physical examination revealed a 5-cm diameter, erythematous, atrophic patch with telangiectasis. No scaling was visible (figure 1). A potassium hydroxide preparation with Swartz-Lamkins stain revealed branching, septate hyphae, confirming the diagnosis of tinea incognito (figures 2 and 3). Topical butertafine hydrochloride cream applied twice a day and pramoxine hydrochloride lotion, a topical anesthetic, were prescribed. Topical steroids were discontinued. The patient reported flaring of redness and pruritus for I week after treatment was initiated and steady improvement thereafter. All treatment was discontinued after 3 weeks, and there was no recurrence of the rash.
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