therapeutic action: fungal elimination

Three cases of easy to be misdiagnosed tinea of vellus hair

This case report describes three patients (ages 2-24) who had skin infections caused by a fungus called Microsporum canis that initially was misdiagnosed as eczema or other simple skin conditions. The infections involved fine vellus hair and required prolonged combined treatment with both oral and topical antifungal medications to fully resolve. The key lesson is that proper fungal testing and extended treatment similar to scalp ringworm protocols are necessary for treating these easily-missed infections.

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A Case of Superficial Mycoses in a Patient with Systemic Lupus Erythematosus

A 52-year-old woman with lupus developed severe fungal skin infections that were initially mistaken for worsening lupus symptoms. Her condition improved after 6 months of treatment with two antifungal medications (terbinafine and itraconazole). This case reminds doctors that patients taking immunosuppressive medications for lupus are at high risk for fungal infections, which can be misdiagnosed as lupus flares.

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