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Requests for reprints should be addressed to Jorge Larrondo Gálvez, MD, Department of Dermatology, Clínica Alemana. Av. Manquehue 1410, piso 12, Vitacura. Santiago, Chile.
Department of Dermatology, Clínica Alemana-Universidad del Desarrollo. Santiago, ChileDepartment of Dermatology, Hospital del Salvador. Santiago, Chile
A 48-year-old agronomist with no history of comorbidities or medication intake consulted
with a 2-month history of progressive swelling on his upper lip. He did not complain
of any symptoms, and the lesion was refractory to oral antibiotic and antiviral treatments.
He denied any recent contact with animals. On physical examination, he had a boggy
erythematous plaque consisting of pustules and crusts on the upper left lip (Figure 1A). Hair was easily pluckable, causing less density. Tinea barbae was suspected; crusts
and pustules were taken for microbiological tests. Direct mycological examination
showed hyaline septate hyphae, and mycological culture revealed the growth of Trichophyton rubrum. The patient was treated with terbinafine 250 mg/d for 8 weeks. At 2-months control,
there was complete resolution of the lesion with partial hair regrowth (Figure 1B).
Figure 1(A) Boggy plaque with crusts and pustules. (B) Complete resolution at 8 weeks of treatment.
Walkty A, Elgheriani A, Silver S, Pieroni P, Embil J. Tinea barbae presenting as a kerion [e-pub ahead of print]. Postgrad Med J. doi: 10.1136/postgradmedj-2020-137609, Accessed March 15, 2020.
