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Tinea Incognito in Korea and Its Risk Factors: Nine-Year Multicenter Survey

Authors
Kim, Won-JeongKim, Tae-WookMun, Je-HoSong, MargaretKim, Hoon-SooKo, Hyun-ChangKim, Byung-SooPark, Chun WookLee, Seok-JongLee, Mu HyoungLee, Kyu SukKye, Young ChulSuh, Kee SuckChung, HyunLee, Ai YoungKim, Ki HoLee, Sook KyungPark, Kyoung ChanLee, Jun YoungChoi, Jee HoLee, Eun-SoLee, Kwang HoonChoi, Eung HoSeo, Jong KeunChoi, Gwang SeongPark, Hai JinYun, Seok KweonSeo, Seong JunYoon, Tae YoungKim, Kwang HoYu, Hee JoonRo, Young SuckKim, Moon-Bum
Issue Date
1월-2013
Publisher
KOREAN ACAD MEDICAL SCIENCES
Keywords
Calcineurin Inhibitor; Dermatophytoses; Korea; Steroid; Tinea; Tinea Incognito
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE, v.28, no.1, pp.145 - 151
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
Volume
28
Number
1
Start Page
145
End Page
151
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/104345
DOI
10.3346/jkms.2013.28.1.145
ISSN
1011-8934
Abstract
Tinea incognito (TI) is a dermatophytic infection which has lost its typical clinical appearance because of improper use of steroids or calcineurin inhibitors. The incidence of TI is increasing nowadays. We conducted retrospective review on 283 patients with TI from 25 dermatology training hospitals in Korea from 2002-2010 to investigate the demographical, clinical, and mycological characteristics of TI, and to determine the associated risk factors. More than half (59.3%) patients were previously treated by non-dermatologists or self-treated. The mean duration of TI was 15.0 +/- 25.3 months. The most common clinical manifestations were eczema-like lesion, psoriasis-like, and lupus erythematosus-like lesion. The trunk and face were frequently involved, and 91 patients (32.2%) also had coexisting fungal infections. Among 67 isolated strains, Trichophyton rubrum was the most frequently detected (73.1%). This is the largest study of TI reported to date and the first investigational report concerning TI in Korea. We suggest that doctors should consider TI when a patient has intractable eczema-like lesions accompanied by tinea pedis/unguium. Furthermore, there should be a policy change, which would make over-the-counter high-potency topical steroids less accessible in some countries, including Korea.
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