Unique Periocular Presentation of Tinea Faciei in an Adolescent Female: Case Report and Discussion

Main Article Content

Jessica Kim
Joseph M. Dyer


dermatophyte, tinea faciei, papulosquamous


Dermatophytosis of the face, also known as tinea faciei, may have a variable clinical presentation. A presumed clinical diagnosis of dermatophytosis should be confirmed with microscopy, culture, and or real-time polymerase chain reaction (RT-PCR). Initially misdiagnosed after negative real-time polymerase chain reaction, we report a case of bilateral periocular tinea secondary to Trichophyton mentagrophytes, a dermatophyte often transmitted from guinea pigs and rabbits.


1. Chang HJ. Periocular rash. JAMA. 2011;306(11):1263-1264. doi:10.1001/jama.2011.1290

2. Hainer BL. Dermatophyte infections. Am Fam Physician. 2003;67(1):101-108.

3. Lin RL, Szepietowski JC, Schwartz RA. Tinea faciei, an often deceptive facial eruption. Int J Dermatol. 2004;43(6):437-440. doi:10.1111/j.1365-4632.2004.02339.x

4. Amigo M, Milani-Nejad N, Mosser-Goldfarb J. Periocular Tinea faciei. The Journal of Pediatrics. 2020;221:255-256. doi:10.1016/j.jpeds.2020.02.031

5. Czaika VA, Lam PA. Trichophyton mentagrophytes cause underestimated contagious zoophilic fungal infection. Mycoses. 2013;56 Suppl 1:33-37. doi:10.1111/myc.12069

6. Basak SA, Berk DR, Lueder GT, Bayliss SJ. Common features of periocular tinea. Arch Ophthalmol. 2011;129(3):306-309. doi:10.1001/archophthalmol.2011.14

7. Lin BB, Pattle N, Kelley P, Jaksic AS. Multiplex RT-PCR provides improved diagnosis of skin and nail dermatophyte infections compared to microscopy and culture: a laboratory study and review of the literature. Diagn Microbiol Infect Dis. 2021;101(3):115413. doi:10.1016/j.diagmicrobio.2021.115413