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Tinea Corporis

Skin Disorders in Elderly Persons: Part 5, Fungal Infections (Tinea Corporis)

NOAH S. SCHEINFELD, MD, JD

Tinea Corporis

Tinea corporis occurs most often on the torso of elderly persons. It commonly appears as an annular plaque with a rim of scaly erythema (Figure 1). Occasionally, tinea corporis manifests with polycyclic annuli (Figure 2) or with nummular plaques, which mimic nummular dermatitis. The examination of a potassium hydroxide preparation can establish the diagnosis. Tinea corporis can be treated effectively with a topical antifungal agent.

Tinea Corporis

Figure 1 – An annular plaque with a rim of scaly erythema arose on this woman's back. Tinea corporis was diagnosed.

 Tinea Corporis

Figure 2 – The polycyclic annuli on this patient's torso were suspected to be tinea corporis. A potassium hydroxide evaluation confirmed the diagnosis.

References
  • Brodell RT, Elewski B. Superficial fungal infections. Errors to avoid in diagnosis and treatment. Postgrad Med. 1997;101(4):279-287.
  • Loo DS. Onychomycosis in the elderly: drug treatment options. Drugs Aging. 2007;24:293-302.
  • Tan JS, Joseph WS. Common fungal infections of the feet in patients with diabetes mellitus. Drugs Aging. 2004;21;101-112.
  • Weinberg JM, Scheinfeld NS. Cutaneous infections in the elderly: diagnosis and management. Dermatol Ther. 2003;16:195-205.
  • Weinberg JM, Vafaie J, Scheinfeld NS. Skin infections in the elderly. Dermatol Clin. 2004;22:51-61.