Tinea imbricata in Child
Lesions begin as small, brown, pruritic macules and papules and progress to concentric rings of scales. The infection usually begins in childhood, and progresses slowly over time. Over 75% of those affected will have lesions covering 50% or more of their skin surface. The lesions are quite pruritic, and the pruritus is aggravated by heat. Areas of lichenification develop after chronic excoriation. As this infection is superficial, patients do not have accompanying constitutional symptoms.
Risk factors include sharing an ancestry with endemic populations (travelers do not seem to develop this condition even after long stays and close contact), low socioeconomic class, and poor hygiene. Females are more commonly affected in the adult population; this sex ratio is reversed in children. Environmental exposures have not been linked to infection. A T-cell defect caused by an autosomal recessive trait has been suggested, but not proven.
B35.5 – Tinea imbricata
240699006 – Tinea imbricata
Differential Diagnosis & Pitfalls