Tinea imbricata

Tinea imbricata (also known in parts of Indonesia as “Kaskado”) is a superficial fungal infection of the skin limited to southwest Polynesia, Melanesia, Southeast Asia, India, and Central America.[1]:303[2] The skin lesions are often itchy, and mainly in the torso and limbs.[3] The name is derived from the Latin for "tiled" (imbricata) since the lesions are often lamellar.[4] It is often treated with griseofulvin or terbinafine.[4]

Tinea imbricata
Other namesTokelau[1]
Tinea imbricata
SpecialtyDermatology 

The risk of developing tinea imbricata is probably inherited as an autosomal recessive trait.[5][6]

Tinea imbricata is associated with Trichophyton concentricum.[4]

Tinea pseudoimbricata

The term "tinea pseudoimbricata" synonymuos with "tinea indecisiva", was coined to describe a form of tinea mimicking the concentric rings of tinea imbricata, but is caused by local or systemic immunosuppression.[7] Since then, 3 cases of Trichophyton tonsurans have been associated with it,[8] as well as Trichophyton rubrum which can trigger mycosis fungoides.[9][10] Mixed infections with scabies have been described to produce tinea pseudoimbricata.[11][12]

As of 2015 in India, corticosteroid–antifungal–antibacterial combinations sold as over-the-counter drug have led to an increase in chronic, recurrent, difficult to treat fungal infections of the skin, including tinea pseudoimbricata.[13]

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See also
  • Skin lesion
  • List of cutaneous conditions

References
  1. James WD, Berger TG, et al. (2006). Andrews' Diseases of the Skin: clinical Dermatology. Saunders Elsevier. ISBN 0-7216-2921-0.
  2. Rapini RP, Bolognia JL, Jorizzo JL (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. p. 285. ISBN 978-1-4160-2999-1.
  3. Burns C, Valentine J (December 2016). "Tinea Imbricata". The New England Journal of Medicine. 375 (23): 2272. doi:10.1056/nejmicm1516757. PMID 27959674.
  4. Bonifaz A, Archer-Dubon C, Saúl A (July 2004). "Tinea imbricata or Tokelau". International Journal of Dermatology. 43 (7): 506–10. doi:10.1111/j.1365-4632.2004.02171.x. PMID 15230889.
  5. Serjeantson S, Lawrence G (January 1977). "Autosomal recessive inheritance of susceptibility to tinea imbricata". Lancet. 1 (8001): 13–5. doi:10.1016/s0140-6736(77)91653-1. PMID 63655.
  6. Ravine D, Turner KJ, Alpers MP (October 1980). "Genetic inheritance of susceptibility to tinea imbricata". Journal of Medical Genetics. 17 (5): 342–8. doi:10.1136/jmg.17.5.342. PMC 1048596. PMID 7218274.
  7. Lim S. P. R., Smith A. G. (2003). "Tinea corporis in a renal transplant recipient mimicking the concentric rings of tinea imbricata". Clinical and Experimental Dermatology. 28 (3): 332–3. doi:10.1046/j.1365-2230.2003.01281.x. PMID 12780732.
  8. Ouchi T1, Nagao K, Hata Y, Otuka T, Inazumi T. Trichophyton tonsurans infection manifesting as multiple concentric annular erythemas. J Dermatol. 2005 Jul;32(7):565-8.
  9. Poonawalla T, Chen W, Duvic M (2006). "Mycosis fungoides with tinea pseudoimbricata owing to Trichophyton rubrum infection". J Cutan Med Surg. 10 (1): 52–6. doi:10.1007/7140.2006.00007. PMID 17241575.CS1 maint: multiple names: authors list (link)
  10. Verma S, Hay RJ (2015). "Topical steroid-induced tinea pseudoimbricata: a striking form of tinea incognito". Int J Dermatol. 54 (5): e192–3. doi:10.1111/ijd.12734.
  11. Poziomczyk CS, Köche B, Becker FL, Dornelles SI, Bonamigo RR. Tinea pseudoimbricata caused by M. gypseum associated to crusted scabies.An Bras Dermatol. 2010 Jul-Aug;85(4):558-9.[English, Portuguese]
  12. Verma S (2017). "Tinea pseudoimbricata". Indian J Dermatol Venereol Leprol. 83 (3): 344–345. doi:10.4103/0378-6323.187686.
  13. Bishnoi Anuradha; et al. (2018). "Emergence of recalcitrant dermatophytosis in India". The Lancet Infectious Diseases. 18 (3): 250–251. doi:10.1016/S1473-3099(18)30079-3.
Classification


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