Tinea faciei

{{Infobox medical condition (new)

| name = Tinea faciei

| synonyms = Ringworm of the face

| image = Mycose peau glabre - Dermatophytosis.jpg

| caption = Tinea faciei

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| field = Dermatology

| symptoms = Facial ringworm appears as one or more pink-to-red scaly patches which contain bumps, blisters, or scabs.They can be itchy, and it may get worse or feel sunburned after exposure to the sun.

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| treatment = topical creams and lotions: Terbinafine, Clotrimazole, Miconazole, Econazole, Oxiconazole, Ketoconazole, Sulconazole, Naftifine

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Tinea faciei is a fungal infection of the skin of the face.{{cite book |last1=James |first1=William D. |last2=Elston |first2=Dirk |last3=Treat |first3=James R. |last4=Rosenbach |first4=Misha A. |last5=Neuhaus |first5=Isaac |title=Andrews' Diseases of the Skin: Clinical Dermatology |date=2020 |publisher=Elsevier |location=Edinburgh |isbn=978-0-323-54753-6 |page=295 |edition=13th |url=https://books.google.com/books?id=UEaEDwAAQBAJ |language=en |chapter=15. Diseases resulting from fungi and yeasts}} It generally appears as a photosensitive painless red rash with small bumps and a raised edge appearing to grow outwards, usually over eyebrows or one side of the face.

Tinea faciei can be due to an anthropophilic (human) fungus such as Trichophyton rubrum (T rubrum). Infection often comes from the feet (tinea pedis) or nails (tinea unguium) originally. {{Cite web |date=2023-10-26 |title=Tinea faciei |url=https://dermnetnz.org/topics/tinea-faciei |access-date=2025-05-01 |website=DermNet® |language=en}}

Zoophilic (animal) fungi such as Microsporum canis (M canis) is acquired from cats and dogs, and T verrucosum, from farm cattle, are also common.

The site of infection may feel wet or have some crusting, and overlying hairs may fall out easily.{{cite web |title=Tinea faciei (face) and barbae (beard) |url=http://www.pcds.org.uk/clinical-guidance/tinea-faciei-face-and-barbae-beard |website=www.pcds.org.uk |access-date=18 September 2021}} There may be a mild itch.{{cite book |last1=Ginter-Hanselmayer |first1=Gabriele |last2=Nenoff |first2=Pietro |editor1-last=Presterl |editor1-first=Elisabeth |title=Clinically Relevant Mycoses: A Practical Approach |date=2018 |publisher=Springer |isbn=978-3-319-92300-0 |pages=149–150 |url=https://books.google.com/books?id=-nSADwAAQBAJ&q=Tinea+faciei++prevalence |language=en}}

Causes & Risk Factors

  • Direct contact with infected humans, animals (e.g., pets), or soil.
  • Compromised immunity, excessive sweating, or misuse of corticosteroids.

Diagnosis<ref>{{Cite web |date=2023-10-26 |title=Tinea faciei |url=https://dermnetnz.org/topics/tinea-faciei |access-date=2025-05-01 |website=DermNet® |language=en}}</ref>

  • Clinical examination: Distinctive rash morphology.{{Cite web |title=Ringworm: Diagnosis and treatment |url=https://www.aad.org/public/diseases/a-z/ringworm-treatment |access-date=2025-05-01 |website=www.aad.org |language=en}}
  • KOH microscopy: Reveals hyphae in skin scrapings.{{Cite journal |last1=Sahoo |first1=Alok Kumar |last2=Mahajan |first2=Rahul |date=2016 |title=Management of tinea corporis, tinea cruris, and tinea pedis: A comprehensive review |journal=Indian Dermatology Online Journal |volume=7 |issue=2 |pages=77–86 |doi=10.4103/2229-5178.178099 |doi-access=free |issn=2229-5178 |pmc=4804599 |pmid=27057486}}
  • Wood’s lamp: Limited utility (some species fluoresce green).
  • Fungal culture/PCR: For resistant or atypical cases.

Treatment

Most infections can be treated with topical antifungal medication. Rarely, more extensive or long-standing infections may require treatment with oral antifungals. The infection will still be contagious between 24 and 48 hours of the first treatment.

The ringworm should go away within 4–6 weeks after using effective treatment.

{{Expand section|date=February 2019}}

Prevention

  • Practice good hygiene (wash hands, avoid sharing towels).
  • Treat infected pets or household contacts.
  • Keep facial skin clean and dry.

See also

References

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