Addressing Diagnostic and Therapeutic Challenges in a Case of Concurrent Tinea and Plaque Psoriasis.

ABSTRACT:

Introduction

The annular lesions of dermatophytosis can closely resemble the plaques of psoriasis, posing significant diagnostic and treatment challenges. Methotrexate, a common treatment for psoriasis, can exacerbate the former due to its immunosuppressive effects.

Case report

​​A middle-aged man with chronic plaque psoriasis was on tablet methotrexate (7.5 mg once weekly) and topical steroids for 1 year. Despite some improvement, new annular lesions emerged whenever topical steroids were tapered. Frustrated with the lack of disease control, the patient finally visited a tertiary care center, where tinea corporis was diagnosed alongside psoriasis via dermoscopy, mycological tests, and histopathology. Methotrexate and steroids were discontinued, and the patient was started o

SUBMITTER: Asnani D 

PROVIDER: S-EPMC11650875 | biostudies-literature | 2024 Jan-Dec

REPOSITORIES: biostudies-literature