CLINICAL SCIENCES S. Alison Finger Basak, MD; David R. Berk, MD; Gregg T. Lueder, MD; Susan J. Bayliss, MD Objective: To present the common features of periocu- the eyelashes occurred in all 10 patients. No cases had lar tinea to aid physicians in future diagnosis and therapy evidence of other tinea infections on examination. Only of this condition, because superficial fungal infections on 2 cases had the central clearing classically associated with the face are often misdiagnosed owing to the diverse mor- tinea corporis. Seven patients had a potassium hydrox- phologies that they manifest. This is especially true of ide preparation and/or culture positive for fungal ele- dermatophytoses involving the periocular region. ments. Lesions improved with topical and oral antifun- gal treatment in all cases, and patients were able to regrow Methods: A retrospective review was performed of pa- their eyelashes. tients with a diagnosis of periocular tinea who were seen between January 2003 and September 2009 in the pedi- Conclusion: Periocular tinea should be considered in atric dermatology clinic at St. Louis Children’s Hospital. the differential diagnosis for periocular inflammation, es- pecially in those patients refractory to therapy for more Results: Ten cases of periocular tinea were identified
JAMA Ophthalmology – American Medical Association
Published: Mar 1, 2011
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