CORRECT DIAGNOSIS:

Pustular tinea

DISCUSSION:

Tinea corporis may present as pustular lesions, though usually exhibits circular dry erythematous patches with scale. Fungal folliculitis, also known as Majocchi granuloma, can present as circumscribed and raised boggy granulomas with purulent material. Often these lesions have been treated with corticosteroids, as in our case. However, we saw no hair follicle involvement on pathology.

TREATMENT:

Lamisil 250mg PO daily x1 month. Additionally, Aveeno moisturizing lotion, Zytec 1 PO daily, and Benadryl 1 PO qhs.

REFERENCES:

Goldstein, A. O., & Goldstein, B. G. (2014). Dermatophyte (tinea) infections. In UpToDate. Retrieved September 24, 2014, from http://www.uptodate.com.lecomlrc.lecom.edu/contents/dermatophyte-tinea-infections?source=machineLearning&search=tinea+corporis&selectedTitle=1~45§ionRank=2&anchor=H35#H35

Habif, T. P. (2010). Clinical dermatology: A color guide to diagnosis and therapy (5th ed.). Hanover, NH: Elsevier, Inc.

James, W. D. (2011). Andrews’ diseases of the skin. Saunders.

Ziemer, M., Seyfarth, F., Elsner, P., & Hipler, U. C. (2007). Atypical manifestations of tinea corporis. Mycoses, 50(Suppl 2), 31-35. https://doi.org/10.1111/j.1439-0507.2007.01373.x

Ohno, S., Tanabe, H., Kawasaki, M., & Horiguchi, Y. (2008). Tinea corporis with acute inflammation caused by Trichophyton tonsurans. Journal of Dermatology, 35(9), 590-593. https://doi.org/10.1111/j.1346-8138.2008.00528.x

Hirschmann, J. V., & Raugi, G. J. (2000). Pustular tinea pedis. Journal of the American Academy of Dermatology, 42(1), 132-133. https://doi.org/10.1016/S0190-9622(00)90081-7