Tinea imbricata

Tinea imbricata (also known in parts of Indonesia as “Kaskado”) is a superficial fungal infection of the skin limited to southwest Polynesia, Melanesia, Southeast Asia, India, and Central America.[1]:303[2] The skin lesions are often itchy, and mainly in the torso and limbs.[3] The name is derived from the Latin for "tiled" (imbricata) since the lesions are often lamellar.[4] It is often treated with griseofulvin or terbinafine.[4]

Tinea imbricata
Other namesTokelau[1]
Tinea imbricata
SpecialtyDermatology 

The risk of developing tinea imbricata is probably inherited as an autosomal recessive trait.[5][6]

Tinea imbricata is associated with Trichophyton concentricum.[4]

Tinea pseudoimbricata

The term "tinea pseudoimbricata" synonymuos with "tinea indecisiva", was coined to describe a form of tinea mimicking the concentric rings of tinea imbricata, but is caused by local or systemic immunosuppression.[7] Since then, 3 cases of Trichophyton tonsurans have been associated with it,[8] as well as Trichophyton rubrum which can trigger mycosis fungoides.[9] [10] Mixed infections with scabies have been described to produce tinea pseudoimbricata.[11] [12]

As of 2015 in India, corticosteroid–antifungal–antibacterial combinations sold as over-the-counter drug have led to an increase in chronic, recurrent, difficult to treat fungal infections of the skin, including tinea pseudoimbricata.[13]

See also

References
  1. James WD, Berger TG, et al. (2006). Andrews' Diseases of the Skin: clinical Dermatology. Saunders Elsevier. ISBN 0-7216-2921-0.
  2. Rapini RP, Bolognia JL, Jorizzo JL (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. p. 285. ISBN 978-1-4160-2999-1.
  3. Burns C, Valentine J (December 2016). "Tinea Imbricata". The New England Journal of Medicine. 375 (23): 2272. doi:10.1056/nejmicm1516757. PMID 27959674.
  4. Bonifaz A, Archer-Dubon C, Saúl A (July 2004). "Tinea imbricata or Tokelau". International Journal of Dermatology. 43 (7): 506–10. doi:10.1111/j.1365-4632.2004.02171.x. PMID 15230889.
  5. Serjeantson S, Lawrence G (January 1977). "Autosomal recessive inheritance of susceptibility to tinea imbricata". Lancet. 1 (8001): 13–5. doi:10.1016/s0140-6736(77)91653-1. PMID 63655.
  6. Ravine D, Turner KJ, Alpers MP (October 1980). "Genetic inheritance of susceptibility to tinea imbricata". Journal of Medical Genetics. 17 (5): 342–8. doi:10.1136/jmg.17.5.342. PMC 1048596. PMID 7218274.
  7. S. P. R. Lim, A. G. Smith. Tinea corporis in a renal transplant recipient mimicking the concentric rings of tinea imbricata. Clinical and Experimental Dermatology 28(3):332-3. June 2003. DOI: 10.1046/j.1365-2230.2003.01281.x PMID 12780732
  8. Ouchi T1, Nagao K, Hata Y, Otuka T, Inazumi T. Trichophyton tonsurans infection manifesting as multiple concentric annular erythemas.J Dermatol. 2005 Jul;32(7):565-8.
  9. Poonawalla T, Chen W, Duvic M. Mycosis fungoides with tinea pseudoimbricata owing to Trichophyton rubrum infection. J Cutan Med Surg. 2006 Jan-Feb;10(1):52-6.PMID 17241575
  10. Verma S, Hay RJ. Topical steroid-induced tinea pseudoimbricata: a striking form of tinea incognito. Int J Dermatol. 2015;54(5):e192-3. doi: 10.1111/ijd.12734.
  11. Poziomczyk CS, Köche B, Becker FL, Dornelles SI, Bonamigo RR. Tinea pseudoimbricata caused by M. gypseum associated to crusted scabies.An Bras Dermatol. 2010 Jul-Aug;85(4):558-9.[English, Portuguese]
  12. Verma S. Tinea pseudoimbricata. Indian J Dermatol Venereol Leprol. 2017 May-Jun;83(3):344-345. doi: 10.4103/0378-6323.187686.
  13. Bishnoi, Anuradha et al. [DOI: https://doi.org/10.1016/S1473-3099(18)30079-3 Emergence of recalcitrant dermatophytosis in India.] The Lancet Infectious Diseases. Volume 18, Issue 3, 250 - 251
Classification


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