Candidiasis and demodicosis of facial skin imitating exacerbation of rosacea

Anna Łańczak; Maciej Spałek; Honorata Kubisiak-Rzepczyk; Dorota Jenerowicz; Monika Bowszyc-Dmochowska; Zygmunt Adamski

doi:10.5114/dr.2019.88259

eISSN: 2084-9893
ISSN: 0033-2526

Dermatology Review/Przegląd Dermatologiczny

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4/2019
vol. 106

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abstract:

Case report

Candidiasis and demodicosis of facial skin imitating exacerbation of rosacea

Anna M. Łańczak

¹

,

Maciej Spałek

¹

,

Honorata Kubisiak-Rzepczyk

²

,

Dorota Jenerowicz

³

,

Monika Bowszyc-Dmochowska

⁴

,

Zygmunt Adamski

³

Students’ Scientific Association at the Department of Dermatology, Poznan University of Medical Sciences, Poznan, Poland
Section of Medical Mycology, Department of Dermatology, Poznan University of Medical Sciences, Poznan, Poland
Department of Dermatology, Poznan University of Medical Sciences, Poznan, Poland
Cutaneous Histopathology and Immunopathology Section, Department of Dermatology, Poznan University of Medical Sciences, Poznan, Poland

Dermatol Rev/Przegl Dermatol 2019, 106, 411-416

DOI: https://doi.org/10.5114/dr.2019.88259

Online publish date: 2019/10/02

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Rosacea is a chronic dermatosis, manifesting with erythema, papular or pustular eruptions located in the facial area. The authors present a case of an 84-year-old woman with a long-term history of rosacea who had a mycotic infection of the facial skin imitating aggravation of the underlying disease. The case presented by us can be regarded as a variant of “tinea incognito”, i.e., undiagnosed mycosis, misdiagnosed as another dermatosis, which is often aggravated by the patient by using local glucocorticosteroids or other local immunomodulators, which hinders proper diagnosis. It may be diagnostically relevant to consider other comorbidities in elderly patients with rosacea.

keywords:

Candidiasis and demodicosis of facial skin imitating exacerbation of rosacea

Anna M. Łańczak 1 , Maciej Spałek 1 , Honorata Kubisiak-Rzepczyk 2 , Dorota Jenerowicz 3 , Monika Bowszyc-Dmochowska 4 , Zygmunt Adamski 3

rosacea, candidiasis, demodicosis, glucocorticosteroids, tinea incognito

Anna M. Łańczak

¹

,

Maciej Spałek

¹

,

Honorata Kubisiak-Rzepczyk

²

,

Dorota Jenerowicz

³

,

Monika Bowszyc-Dmochowska

⁴

,

Zygmunt Adamski

³