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Contributor

Bernard Cohen, MD

Diagnosis

kerion tinea corporis

Body Site

knee leg

Age

2 years

Pigmentation

dark

Organization

annular

Color

red yellow

Morphology

plaqulous (plaque / nodule / tumor)

Pattern

solitary

Comments

This healthy preschooler developed an itchy painful crusted papule on her left knee which enlarged over a week to form an round plaque with multiple rings comprised of edematous crusted papules and confluent vesicles. Culture grew Trichophyton tonsurans, and she was treated with oral griseofulvin with dramatic improvement in the lesion noted 2 weeks later on the associated image. To relieve her intense pruritus a class 2 topical steroid was applieddaily for a week. The lesion cleared with postinflammatory hyperpigmentation 1 month later.

Description

edematous crusted violaceous yellow annular plaque with well defined border and several concentric rings within

Categories

infections and infestations annular eruption

Image Added

8/10/2010 22:38:52

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Other Resources

PubMed Medline Plus Medscape

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