Tinea faciei - External and Internal Eye
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Synopsis

Tinea faciei, also known as tinea faciale or tinea facialis, is a localized dermatophyte infection of the superficial epidermis of the face. Tropical or humid climates as well as the application of topical steroids are associated with more frequent and severe cases. Fungal organisms are transmitted to humans by direct contact with an infected individual/animal or through fomites.
Eyelid involvement is uncommon but reported.
A severe antifungal-resistant tinea has emerged in South Asia from the rapid spread of a novel dermatophyte species: Trichophyton indotineae. Terbinafine-resistant T indotineae infections have been reported in Asia, Europe, Canada, and the United States, including one case in New York City with no history of recent international travel.
Eyelid involvement is uncommon but reported.
A severe antifungal-resistant tinea has emerged in South Asia from the rapid spread of a novel dermatophyte species: Trichophyton indotineae. Terbinafine-resistant T indotineae infections have been reported in Asia, Europe, Canada, and the United States, including one case in New York City with no history of recent international travel.
Codes
ICD10CM:
B35.8 – Other dermatophytoses
SNOMEDCT:
240696004 – Tinea faciei
B35.8 – Other dermatophytoses
SNOMEDCT:
240696004 – Tinea faciei
Look For
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
- There are reports of tinea faciei mimicking discoid lupus erythematosus (DLE); in one study more than 50% looked like DLE. Corticosteroid-modified tinea faciei can mimic rosacea and is often misdiagnosed as such.
- Seborrheic dermatitis
- Atopic dermatitis
- Contact dermatitis
- Psoriasis
- Polymorphous light eruption
- Granuloma annulare
- Perioral dermatitis
- Pityriasis alba
- Sarcoidosis
- Drug-induced photosenstive reaction
Best Tests
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Management Pearls
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Therapy
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References
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Last Updated:05/24/2023

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Tinea faciei - External and Internal Eye
See also in: Overview