An Bras Dermatol. 2010;85(4):558-9.
▲
Tinea pseudoimbricata caused by M. gypseum associated to
crusted scabies
Tinea pseudoimbricata por M. gypseum associada à escabiose crostosa
Claudia Schermann Poziomczyk
1
Bruna Köche
2
Fabio Luis Becker
3
Sérgio Ivan Torres Dornelles
4
Renan Rangel Bonamigo
5
Abstract:Tinea pseudoimbricata is related to T. tonsurans and T. rubrum and crusted scabies is a high-
ly contagious dermatosis caused by excessive proliferation of S. scabiei var. hominis. We described a
case of a 21-year-old patient, seronegative for HIV, with both skin diseases. The occurrence of these der-
matosis simultaneously in immunocompetent patients is very rare.
Keywords: Microsporum; Scabies; Tinea
Resumo: Tinea pseudoimbricata é relacionada ao T. tonsurans e ao T. rubrum e a escabiose crostosa é uma
dermatose altamente contagiosa, ocasionada pela proliferação excessiva do S. scabiei var. hominis.
Descrevemos uma paciente com 21 anos, soronegativa para HIV, apresentando ambas doenças dermatoló-
gicas. O encontro simultâneo destas dermatoses em pacientes imunocompetentes é muito raro.
Palavras-chave: Escabiose; Microsporum; Tinha
Approved by the Editorial Board and accepted for publication on 08.02.2010 .
* Work carried out in the Ambulatory Service of Sanitary Dermatology- Porto Alegre (RS), Brazil.
Conflict of interest: None / Conflito de interesse: Nenhum
Financial funding: None / Suporte financeiro: Nenhum
1
Medical Doctor, Dermatologist - Porto Alegre (RS), Brazil
2
Medical Doctor, Dermatologist - Porto Alegre (RS), Brazil
3
Medical Doctor, Dermatologist - Porto Alegre (RS), Brazil
4
Master Degree in Clinical Medicine from the Federal University of Rio Grande do Sul (UFRGS) - Preceptor of the Medical Internship in Dermatology in the
Ambulatory Service of Sanitary Dermatology - Porto Alegre (RS), Brazil.
5
Master and Doctorate Degrees in Clinical Medicine from the Federal University of Rio Grande do Sul (UFRGS) - Preceptor of the Medical Internship in
Dermatology in the Ambulatory Service of Sanitary Dermatology - Porto Alegre (RS),Brazil.
©2010 by Anais Brasileiros de Dermatologia
558
IMAGING IN TROPICAL DERMATOLOGY
Tinea Pseudoimbricata presents itself as annu-
lar plaques that form parallel and imbricated concen-
tric rings similar to Tinea Imbricata,
1
being caused by
T. tonsurans and T. rubrum.
2,3
Crusted scabies is a
variation of the parasitosis caused by S. scabiei var.
hominis, with atypical crusted lesions and excessive
proliferation of acarids. It is described the case of a 21-
year-old patient with pruriginous lesions who had
been suffering from the disease for two months. The
patient presented large area with squamous papule-
erythematous lesions, in annular dispositions (Picture
1) and imbricated keratotic nodules on the trunk and
PICTURE 1:
Squamous
papule-erythe-
matous lesions
in annular dis-
positions on
the dorsum of
the patient;
(bellow):
lesion highly
enlarged