History: A 45-year-old farmer came to dermatology OPD with C/O nonitchy red lumpy areas, pustules, and crusting around the hairs that can be pulled out easily. What’s the diagnosis?
Tinea barbae is a superficial dermatophyte fungal infection that is limited to the bearded areas of the face and neck. The most common causes are Trichophyton mentagrophytes and T. verrucosum.
Signs and symptoms
- Pimple or blister
- Swelling and redness around infected area
- Red and lumpy skin
- Crusting around hairs in infected areas and effortless pulling of hair.
Diagnosis:
- Direct microscopic examination
- Culture on Sabouraud agar
Treatment: Antifungals
- Topical antifungals
- Itraconazole can be recommended as one-pulse therapy at a dosage of 400 mg/d divided into 2 doses for 1 week.