{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:02:28Z","timestamp":1756425748783,"version":"3.44.0"},"reference-count":20,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,8,29]]},"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>Favus is an uncommon chronic inflammatory dermatophyte infection of the scalp. Predominantly, a disease of childhood, uncommon reports of adult cases are described. For the most part, this infection is characterised by invasion of hair shaft clinically presenting as yellowish scaly plaques, alopecia and\/or inflammatory lesions. We hereby present an immunocompetent adult presenting with a psoriasiform plaque over glabella, culturally referred to as \u2018bindi\u2019 area. No involvement of the scalp or other hair-borne areas was seen. As she did not agree to undergo a skin biopsy, a last resort of simple stains like potassium hydroxide was done confirming favus. Systemic itraconazole was initiated and complete clinical and mycological resolution was seen with no relapse. Such atypical presentations in adults can cause a diagnostic dilemma and simple stains still hold their ground in making a diagnosis in resource-poor settings.<\/jats:p>","DOI":"10.1136\/bcr-2024-261712","type":"journal-article","created":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T01:45:26Z","timestamp":1725587126000},"page":"e261712","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Tinea favosa: psoriasiform favus in bindi area of an adult"],"prefix":"10.1136","volume":"17","author":[{"given":"Sharad D","family":"Mutalik","sequence":"first","affiliation":[{"name":"Department of Dermatology, Maharashtra Medical Foundation Joshi Hospital, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5415-3702","authenticated-orcid":false,"given":"Shibhani Sudheer","family":"Hegde","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Bharati Vidyapeeth (Deemed to be University) Medical College and hospital, Pune, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandhya","family":"Saoji","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Su Vishwas Diagnostic Lab, Nagpur, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,9,5]]},"reference":[{"key":"2025082723265464000_17.9.e261712.1","doi-asserted-by":"publisher","DOI":"10.1007\/s11046-010-9312-7"},{"key":"2025082723265464000_17.9.e261712.2","first-page":"389","article-title":"Tinea capitis caused by Trichophyton rubrum mimicking favus","volume":"98","author":"Boyd","year":"2016","journal-title":"Cutis"},{"key":"2025082723265464000_17.9.e261712.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1439-0507.2011.02160.x"},{"key":"2025082723265464000_17.9.e261712.4","doi-asserted-by":"crossref","DOI":"10.1046\/j.1365-2133.2003.05310.x","article-title":"Favus due to Trichophyton schoenleinii in a patient with metastatic bronchial carcinoma","volume":"148","author":"Cecchi","year":"2003","journal-title":"Br J Dermatol"},{"key":"2025082723265464000_17.9.e261712.5","doi-asserted-by":"crossref","DOI":"10.4103\/0019-5154.117363","article-title":"Favus in an elderly Kashmiri female: A rare occurrence","volume":"58","author":"Hassan","year":"2013","journal-title":"Indian J Dermatol"},{"key":"2025082723265464000_17.9.e261712.6","doi-asserted-by":"crossref","first-page":"270","DOI":"10.2340\/00015555-2201","article-title":"Disseminated Favus Caused by Microsporum gypseum in a Patient with Systemic Lupus Erythematosus","volume":"96","author":"Sanusi","year":"2016","journal-title":"Acta Derm Venereol"},{"key":"2025082723265464000_17.9.e261712.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(96)90296-0"},{"key":"2025082723265464000_17.9.e261712.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1439-0507.2006.01341.x"},{"key":"2025082723265464000_17.9.e261712.9","unstructured":"Erbakan AN , Erdem C , Gurler A , et al . The clinical and mycological characteristics of tinea favosa. In: Tumbay E , ed. FEMS symposium on dermatophytes and dermatophytoses in man and animals (May 21\u201323,1986, Izmir), proceedings; 1988:285\u201392."},{"key":"2025082723265464000_17.9.e261712.10","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5154.131391"},{"key":"2025082723265464000_17.9.e261712.11","doi-asserted-by":"crossref","unstructured":"Mishra G , Rathi S , Mulani J . Bindi Tuberculosis \u2013 Lupus Vulgaris Associated with Bindi Use: A Case Report. JCDR 2015;9. doi:10.7860\/JCDR\/2015\/12164.5899","DOI":"10.7860\/JCDR\/2015\/12164.5899"},{"key":"2025082723265464000_17.9.e261712.12","doi-asserted-by":"crossref","first-page":"91","DOI":"10.4103\/ijd.ijd_306_22","article-title":"A Case of Leishmania Infantum Mimicking Lymphoma","volume":"68","author":"\u00c7ulha","year":"2023","journal-title":"Indian J Dermatol"},{"key":"2025082723265464000_17.9.e261712.13","doi-asserted-by":"publisher","DOI":"10.1378\/chest.08-1527"},{"key":"2025082723265464000_17.9.e261712.14","first-page":"61","article-title":"A case of scar sarcoidosis developing in an old scar area on the forehead","volume":"24","author":"Kocak","year":"2015","journal-title":"ActaDermatovenerol Alp Pannonica Adriat"},{"key":"2025082723265464000_17.9.e261712.15","doi-asserted-by":"crossref","first-page":"194","DOI":"10.7181\/acfs.2018.02012","article-title":"A clinical review of reconstructive techniques for patients with multiple skin cancers on the face","volume":"19","author":"Kim","year":"2018","journal-title":"Arch Craniofac Surg"},{"key":"2025082723265464000_17.9.e261712.16","doi-asserted-by":"crossref","first-page":"177","DOI":"10.4103\/idoj.idoj_257_21","article-title":"Bowen\u2019s Disease","volume":"13","author":"Palaniappan","year":"2022","journal-title":"Indian Dermatol Online J"},{"key":"2025082723265464000_17.9.e261712.17","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5154.147778"},{"key":"2025082723265464000_17.9.e261712.18","doi-asserted-by":"crossref","DOI":"10.17795\/jjnpp-23919","article-title":"Fungal contaminations of herbal face mask preparations","volume":"10","author":"Salehei","year":"2015","journal-title":"Jundishapur J Nat Pharm Prod"},{"key":"2025082723265464000_17.9.e261712.19","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1016\/j.jaad.2016.08.061","article-title":"Systemic antifungal therapy for tinea capitis in children: An abridged Cochrane Review","volume":"76","author":"Chen","year":"2017","journal-title":"J Am Acad Dermatol"},{"key":"2025082723265464000_17.9.e261712.20","doi-asserted-by":"publisher","DOI":"10.4103\/ijd.IJD_206_17"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-261712","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:27:05Z","timestamp":1756362425000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-261712"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9]]},"references-count":20,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2024,9,5]]},"published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1136\/bcr-2024-261712"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-261712","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,9]]}}}