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Tinea Faciei Treatment & Management

  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Dirk M Elston, MD  more...
Updated: Jun 22, 2016

Medical Care

Most cases of tinea faciei are curable with topical antifungal agents. If a topical steroid has been applied, fungal folliculitis may be present.[26] Fungal folliculitis requires systemic therapy.

The frequency of daily application and duration of the treatment depend on the active ingredients of the preparation.

Topical ciclopirox and terbinafine possess additional anti-inflammatory effects, which are especially important in the therapy for infections caused by zoophilic dermatophytes in which inflammatory reactions are usually prominent.

Topical azoles are effective. Isoconazole nitrate and diflucortolone valerate combination therapy has been used successfully.[27]

Although rare, chronic and/or multiple lesions may require systemic therapy.



The isolation and treatment of infected pets is of great importance.

Contributor Information and Disclosures

Robert A Schwartz, MD, MPH Professor and Head of Dermatology, Professor of Pathology, Pediatrics, Medicine, and Preventive Medicine and Community Health, Rutgers New Jersey Medical School; Visiting Professor, Rutgers University School of Public Affairs and Administration

Robert A Schwartz, MD, MPH is a member of the following medical societies: Alpha Omega Alpha, New York Academy of Medicine, American Academy of Dermatology, American College of Physicians, Sigma Xi

Disclosure: Nothing to disclose.


Jacek C Szepietowski, MD, PhD Professor, Vice-Head, Department of Dermatology, Venereology and Allergology, Wroclaw Medical University; Director of the Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Poland

Disclosure: Received consulting fee from Orfagen for consulting; Received consulting fee from Maruho for consulting; Received consulting fee from Astellas for consulting; Received consulting fee from Abbott for consulting; Received consulting fee from Leo Pharma for consulting; Received consulting fee from Biogenoma for consulting; Received honoraria from Janssen for speaking and teaching; Received honoraria from Medac for speaking and teaching; Received consulting fee from Dignity Sciences for consulting; .

Specialty Editor Board

David F Butler, MD Section Chief of Dermatology, Central Texas Veterans Healthcare System; Professor of Dermatology, Texas A&M University College of Medicine; Founding Chair, Department of Dermatology, Scott and White Clinic

David F Butler, MD is a member of the following medical societies: American Medical Association, Alpha Omega Alpha, Association of Military Dermatologists, American Academy of Dermatology, American Society for Dermatologic Surgery, American Society for MOHS Surgery, Phi Beta Kappa

Disclosure: Nothing to disclose.

Van Perry, MD Assistant Professor, Department of Medicine, Division of Dermatology, University of Texas School of Medicine at San Antonio

Van Perry, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD Professor and Chairman, Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina College of Medicine

Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

  1. Lin RL, Szepietowski JC, Schwartz RA. Tinea faciei, an often deceptive facial eruption. Int J Dermatol. 2004. 43:437-440. [Medline].

  2. Nenoff P, Uhrlaß S, Krüger C, Erhard M, Hipler UC, Seyfarth F, et al. Trichophyton species of Arthroderma benhamiae - a new infectious agent in dermatology. J Dtsch Dermatol Ges. 2014 Jul. 12(7):571-81. [Medline].

  3. Atzori L, Aste N, Aste N, Pau M. Tinea Faciei Due to Microsporum canis in Children: A Survey of 46 Cases in the District of Cagliari (Italy). Pediatr Dermatol. 2011 Oct 20. [Medline].

  4. Del Boz J, Crespo V, de Troya M. Pediatric Tinea Faciei in Southern Spain: A 30-Year Survey. Pediatr Dermatol. 2011 Oct 13. [Medline].

  5. Ansar A, Farshchian M, Nazeri H, Ghiasian SA. Clinico-epidemiological and mycological aspects of tinea incognito in Iran: A 16-year study. Med Mycol J. 2011. 52(1):25-32. [Medline].

  6. Nicola A, Laura A, Natalia A, Monica P. A 20-year survey of tinea faciei. Mycoses. 2010 Nov. 53(6):504-8. [Medline].

  7. Lari AR, Akhlaghi L, Falahati M, Alaghehbandan R. Characteristics of dermatophytoses among children in an area south of Tehran, Iran. Mycoses. 2005. 48:32-37. [Medline].

  8. Romano C, Ghilardi A, Massai L. Eighty-four consecutive cases of tinea faciei in Siena, a retrospective study (1989-2003). Mycoses. 2005 Sep. 48(5):343-6. [Medline].

  9. Bassi A, Greco A, Galeone M, Venturini E, Bianchi L, Scarfi F, et al. Tinea Faciei in a 14-Day-Old Girl. J Pediatr. 2016 Jun. 173:259. [Medline].

  10. Bardazzi F, Raone B, Neri I, Patrizi A. Tinea faciei in a newborn: a new case. Pediatr Dermatol. 2000 Nov-Dec. 17(6):494-5. [Medline].

  11. Cohen-Abbo A. Newborn with vesicular rash. Tinea corporis (tinea faciei). Pediatr Infect Dis J. 2000 Jul. 19(7):661, 676-7. [Medline].

  12. Szepietowski J. Dermatomycoses in newborns. Mikol Lek. 1997. 4:41-5.

  13. Meymandi S, Wiseman MC, Crawford RI. Tinea faciei mimicking cutaneous lupus erythematosus: a histopathologic case report. J Am Acad Dermatol. 2003 Feb. 48(2 Suppl):S7-8. [Medline].

  14. Singh R, Bharu K, Ghazali W, Bharu K, Nor M, Kerian K. Tinea faciei mimicking lupus erythematosus. Cutis. 1994 Jun. 53(6):297-8. [Medline].

  15. Berry A, Abramovici G, Chamlin SL. A 21-day-old boy with an annular eruption. Tinea faciei / Tinea capitis. Pediatr Ann. 2014 Jan 1. 43(1):e16-8. [Medline].

  16. Noguchi H, Jinnin M, Miyata K, Hiruma M, Ihn H. Clinical features of 80 cases of tinea faciei treated at a rural clinic in Japan. Drug Discov Ther. 2014 Dec. 8 (6):245-8. [Medline].

  17. Patel G, Mills C. Tinea faciei due to Microsporum canis abscess formation. Clin Exp Dermatol. 2000 Nov. 25(8):608-10. [Medline].

  18. Nenoff P, Mugge C, Hermann J, Keller U. Tinea faciei incognito due to Trichophyton rubrum as a result of autoinoculation from onychomycosis. Mycoses. 50, suppl.2. 2007:20-25.

  19. Pustisek N, Skerlev M, Basta-Juzbasic A, Lipozencic J, Marinovic B, Bukvic-Mokos Z. Tinea incognito caused by trichophyton mentagrophytes -- a case report. Acta Dermatovenerol Croat. 2001 Dec. 9(4):283-6. [Medline].

  20. Cai W, Lu C, Li X, Zhang J, Zhan P, Xi L, et al. Epidemiology of Superficial Fungal Infections in Guangdong, Southern China: A Retrospective Study from 2004 to 2014. Mycopathologia. 2016 Jun. 181 (5-6):387-95. [Medline].

  21. Jasterzbski TJ, Schwartz RA. Pseudofolliculitis cutis: a vexing disorder of hair growth. Br J Dermatol. 2015 Apr. 172 (4):878-84. [Medline].

  22. Laureano AC, Schwartz RA, Cohen PJ. Facial bacterial infections: folliculitis. Clin Dermatol. 2014 Nov-Dec. 32 (6):711-4. [Medline].

  23. Kimura U, Yokoyama K, Hiruma M, Kano R, Takamori K, Suga Y. Tinea faciei caused by Trichophyton mentagrophytes (molecular type Arthroderma benhamiae ) mimics impetigo : a case report and literature review of cases in Japan. Med Mycol J. 2015. 56 (1):E1-5. [Medline].

  24. Alteras I, Sandbank M, David M, Segal R. 15-year survey of tinea faciei in the adult. Dermatologica. 1988. 177(2):65-9. [Medline].

  25. Gorani A, Oriani A, Cambiaghi S. Seborrheic dermatitis-like tinea faciei. Pediatr Dermatol. 2005 May-Jun. 22(3):243-4. [Medline].

  26. Dekio S, Imaoka C, Jidoi J. Corticosteroid-modified tinea faciei simulating rosacea. J Dermatol. 1987 Oct. 14(5):509-11. [Medline].

  27. Czaika VA. Misdiagnosed zoophile tinea faciei and tinea corporis effectively treated with isoconazole nitrate and diflucortolone valerate combination therapy. Mycoses. 2013 May. 56 Suppl 1:26-9. [Medline].

  28. Wilmer A, Wollina U. Oral terbinafine in the treatment of griseofulvin-resistant Tinea capitis et faciei et corporis in a 10-month-old girl. Acta Derm Venereol. 1998 Jul. 78(4):314. [Medline].

  29. Kye H, Kim DH, Seo SH, Ahn HH, Kye YC, Choi JE. Polycyclic Annular Lesion Masquerading as Lupus Erythematosus and Emerging as Tinea Faciei Incognito. Ann Dermatol. 2015 Jun. 27 (3):322-5. [Medline].

  30. Nakamura S, Yamada T, Umemoto N, Nakamura T, Wakatabi K, Iida E, et al. Cheek and periorbital peculiar discoid lupus erythematosus: rare clinical presentation mimicking tinea faciei, cutaneous granulomatous disease or blepharitis. Case Rep Dermatol. 2015 Jan-Apr. 7 (1):56-60. [Medline].

Multiple lesions on the face caused by Microsporum canis infection in a patient who also has tinea capitis.
Erythematous scaling lesion on the cheek.
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