Document Detail

Tinea versicolor mimicking pityriasis rubra pilaris.
MedLine Citation:
PMID:  15984626     Owner:  NLM     Status:  MEDLINE    
Tinea versicolor is a common noninvasive cutaneous fungal disease. We recount a case of tinea versicolor that mimicked type I (classic adult) pityriasis rubra pilaris. A 54-year-old white man reported a 20-year history of a recurrent pruritic eruption that had marginally improved with use of selenium sulfide shampoo and treatment with oral antihistamines. Results of a skin examination revealed erythematous plaques; islands of spared skin; and follicular erythematous keratotic papules on the trunk, shoulders, and upper arms. A lesion was scraped to obtain skin scales for potassium hydroxide staining. Examination of the stained samples revealed the characteristic "spaghetti and meatballs," confirming the diagnosis.
Matthew J Darling; Matthew C Lambiase; R John Young
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cutis     Volume:  75     ISSN:  0011-4162     ISO Abbreviation:  Cutis     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-06-29     Completed Date:  2005-10-25     Revised Date:  2013-09-12    
Medline Journal Info:
Nlm Unique ID:  0006440     Medline TA:  Cutis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  265-7     Citation Subset:  IM    
Department of Surgery, Wilford Hall Medical Center, Lackland Air Force Base, San Antonio, Texas, USA.
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MeSH Terms
Antifungal Agents / therapeutic use
Diagnosis, Differential
Hydroxides / diagnostic use
Itraconazole / therapeutic use
Middle Aged
Pityriasis Rubra Pilaris / diagnosis*
Potassium Compounds / diagnostic use
Staining and Labeling
Tinea Versicolor / diagnosis*,  drug therapy
Reg. No./Substance:
0/Antifungal Agents; 0/Hydroxides; 0/Potassium Compounds; 84625-61-6/Itraconazole; WZH3C48M4T/potassium hydroxide

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