Medicine:Tinea imbricata

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Tinea imbricata
Other namesTokelau[1]
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, often itchy, occur mainly in the torso and limbs.[3] The name tinea imbricata is derived from the Latin for "tiled" (imbricatus) since the lesions are often lamellar.[4] The lesions are often treated with griseofulvin or terbinafine.[4]

The condition has also become known as "Tokelau" - the name apparently references the islands of Tokelau in the South Pacific.[5]

The risk of developing tinea imbricata is probably inherited as an autosomal recessive trait.[6][7]

Tinea imbricata is associated with Trichophyton concentricum.[4]

Tinea pseudoimbricata

The term "tinea pseudoimbricata" synonymous 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.[8] Since then, 3 cases of Trichophyton tonsurans have been associated with it,[9] as well as Trichophyton rubrum which can trigger mycosis fungoides.[10][11] Mixed infections with scabies have been described to produce tinea pseudoimbricata.[12][13]

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.[14]

See also

  • Skin lesion
  • List of cutaneous conditions

References

  1. 1.0 1.1 James, William D. et al. (2006). Andrews' Diseases of the Skin: clinical Dermatology. Saunders Elsevier. ISBN 0-7216-2921-0. 
  2. Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. pp. 285. ISBN 978-1-4160-2999-1. 
  3. "Tinea Imbricata". The New England Journal of Medicine 375 (23): 2272. December 2016. doi:10.1056/nejmicm1516757. PMID 27959674. 
  4. 4.0 4.1 4.2 "Tinea imbricata or Tokelau". International Journal of Dermatology 43 (7): 506–10. July 2004. doi:10.1111/j.1365-4632.2004.02171.x. PMID 15230889. 
  5. Schiefenhövel, Wulf (22 November 2013). "Cassia Alata - Plädoyer für die Reaktivierung eines traditionellen Heilmittels im westichen Pazifik" (in de). Ethnobotanik—Ethnobotany: Beiträge und Nachträge zur 5. Internationalen Fachkonferenz Ethnomedizin in Freiburg, 30.11.–3.12.1980. Wiesbaden: Springer-Verlag. p. 144. ISBN 9783663141327. https://books.google.com/books?id=Pyy2BgAAQBAJ. Retrieved 7 March 2024. "Reisenden in pazifischen Länder fällt häufig eine Hautpilzerkrankung der Einheimishen auf, die insbesondere in den feuchtheissen Küstenzonen vorkommt [...]. Die gängigen dermatologischen Bezeichnungen für diese Hautinfektion sind Tinea imbricata und Tokelau. Die Bewohner der Tokelau Gruppe nördlich von Samoa waren möglicherweise besonders häufig von der Tinea imbricata betroffen, so daß ihre Insel zum Synonym für diese Trichophytie wurde." 
  6. "Autosomal recessive inheritance of susceptibility to tinea imbricata". Lancet 1 (8001): 13–5. January 1977. doi:10.1016/s0140-6736(77)91653-1. PMID 63655. 
  7. "Genetic inheritance of susceptibility to tinea imbricata". Journal of Medical Genetics 17 (5): 342–8. October 1980. doi:10.1136/jmg.17.5.342. PMID 7218274. 
  8. 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. 
  9. 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.
  10. 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. 
  11. 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. PMID 25601089. 
  12. 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]
  13. Verma S (2017). "Tinea pseudoimbricata". Indian J Dermatol Venereol Leprol 83 (3): 344–345. doi:10.4103/0378-6323.187686. PMID 27506504. 
  14. Bishnoi Anuradha (2018). "Emergence of recalcitrant dermatophytosis in India". The Lancet Infectious Diseases 18 (3): 250–251. doi:10.1016/S1473-3099(18)30079-3. PMID 29485088. 
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