Tinea faciei incognito due to Trichophyton rubrum as a result of autoinoculation from onychomycosis


  • All authors have no conflicts of interests.

Pietro Nenoff, Laboratorium für medizinische Mikrobiologie, Partnerschaft Dr. Jürgen Herrmann & Prof. Pietro Nenoff, Straße des Friedens 8, D-04579 Mölbis, Germany.
Tel.: +49-34347-50 323. Fax: +49-34347-50 123.
E-mail: nenoff@mykologie-experten.de


The localisation of a dermatophytosis on the face is rare. Differential diagnoses include a broad range of dermatological disorders, e. g. contact dermatitis, psoriasis vulgaris, seborrhoeic dermatitis, demodicosis, and polymorphic photo eruptions. Two patients suffering from tinea faciei incognito caused by Trichophyton rubrum are presented. Diagnosis was based on mycological diagnostics of skin scrapings using Calcofluor preparation and cultivation of the causative dermatophyte. Both patients were suffering from tinea pedis and tinea unguium caused by the same dermatophyte species. An infection caused by Trichophyton rubrum of the face always occurs following autoinoculation from a pre-existing tinea pedis and tinea unguium of feet and toenails, sometimes of the fingernails.