Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
Author’s Response
Brief Report
Case Report
Editorial
Erratum
Guest Editorial
History
Image
Images in Clinical Practice
Invited Commentary
JSSTD Symposium
Letter in Response to Previous Publication
Letter to Editor
Letter to the Editor
Letter to the Editor - Study Letter
Media and News
Net Case
Net Consensus Statement
Net Educational Video for Residents
Net Image
Net Images
Net Letter
Net Quiz in Dermatology
Obituary
Original Article
Quiz in Dermatology
Resident’s Page
Review Article
Study Letter
Study Letter Case Series
Symposium
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
Author’s Response
Brief Report
Case Report
Editorial
Erratum
Guest Editorial
History
Image
Images in Clinical Practice
Invited Commentary
JSSTD Symposium
Letter in Response to Previous Publication
Letter to Editor
Letter to the Editor
Letter to the Editor - Study Letter
Media and News
Net Case
Net Consensus Statement
Net Educational Video for Residents
Net Image
Net Images
Net Letter
Net Quiz in Dermatology
Obituary
Original Article
Quiz in Dermatology
Resident’s Page
Review Article
Study Letter
Study Letter Case Series
Symposium
View/Download PDF

Translate this page into:

Net Images
ARTICLE IN PRESS
doi:
10.25259/JSSTD_18_2024

Majocchi’s granuloma following steroid application

Department of Dermatology, Vinayaka Mission’s Medical College, Karaikal, India
Department of Dermatology, Jawaharlal Institute of Postgraduate Medical Education and Research, Karaikal, India.

*Corresponding author: Geethanjali Sahadevan, Department of Dermatology, Jawaharlal Institute of Postgraduate Medical Education and Research, Karaikal, India. geethanjalisahadevan@gmail.com

Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Mathew BP, Sahadevan G. Majocchi’s granuloma following steroid application. J Skin Sex Transm Dis. doi: 10.25259/JSSTD_18_2024

An 8-year-old child presented with multiple annular plaques over the trunk and limbs for a duration of two months. One of the lesions on the thigh showed follicular papules at the periphery with erosions [Figure 1]. She had been applying a steroid cream on the skin lesions for four weeks. Dermoscopy showed whitish structure-less areas, hemorrhage, polymorphic vessels, and Morse code hair [Figure 2]. In addition, she reported scrubbing the area with a loofah while bathing. A diagnosis of tinea incognito with Majocchi’s granuloma was made clinically and confirmed with a potassium hydroxide mount from the scrapings which showed septate branching hyphae of dermatophytes. She was started on oral fluconazole and topical miconazole. However, the lesion was not responding adequately, and she developed inflammatory signs such as redness and scaling. A repeat potassium hydroxide mount was done, which showed fungal filaments. She was not willing to undergo a biopsy. The child was started on oral terbinafine at a dose of 125 mg/day, and within a week, the lesion started to regress and completely subsided in three weeks.

Clinical image showing annular plaque with peripheral follicular papules.
Figure 1:
Clinical image showing annular plaque with peripheral follicular papules.
Dermoscopy image showing white structure-less areas, hemorrhage, polymorphous vessels, and Morse code hair (DermLite DL4 ×10).
Figure 2:
Dermoscopy image showing white structure-less areas, hemorrhage, polymorphous vessels, and Morse code hair (DermLite DL4 ×10).

Ethical approval

The Institutional Review Board approval is not required.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent.

Conflicts of interest

There are no conflicts of interest.

Use of artificial intelligence (AI)-assisted technology for manuscript preparation

The authors confirm that there was no use of artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript and no images were manipulated using AI.

Financial support and sponsorship

Nil.


Fulltext Views
3,993

PDF downloads
18,382
View/Download PDF
Download Citations
BibTeX
RIS
Show Sections