{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:17:18Z","timestamp":1787840238730,"version":"build-2784847793"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Dermatophytosis is widespread in India due to recalcitrant and resistant infection. Tinea incognito (TI) is modified dermatophytosis due to the inadvertent use of topical steroids (TS). Similarly, topical steroid-damaged face (TSDF) is caused by prolonged use of TS. Distinction of TI and TSDF is difficult when the face is affected. Dermoscopy can assist in the differentiation of both by revealing characteristic features. We evaluated the dermoscopic features in TI affecting the face and TSDF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims and Objectives:<\/jats:title>\n                    <jats:p>To evaluate the clinical and dermoscopic features of TI affecting the face and TSDF. To observe the involvement of eyelids in TI as opposed to TSDF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>The study was conducted in a tertiary hospital after obtaining ethical clearance and informed consent. Patients with signs of TI or TSDF were enrolled and demographic data were collected. Patients who had applied TS\/combination creams were included. A handheld dermoscope with 10x magnification was used. A potassium hydroxide mount was used to confirm the diagnosis of TI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Out of 80 patients, 27 males and 53 females were present. The mean duration of application was 8.25 \u00b1 7 months. Clinical features were pruritus, erythema, scaling, and burning sensation. Eyelid involvement was noted in TI while it was spared in TSDF. On dermoscopy, morphological features were predominant in TI whereas vascular structures were found in TSDF in addition to white rosettes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Dermoscopy distinguishes TI from TSDF comprehensively by demonstrating definitive features. In addition, the involvement of the eyelid is an excellent clinical sign of TI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/idoj.idoj_57_24","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T12:16:40Z","timestamp":1728389800000},"page":"949-954","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Dermoscopic Distinction of Tinea Incognito on the Face and Topical Steroid Damaged Face: A Cross-Sectional Study in Skin of Color"],"prefix":"10.4103","volume":"15","author":[{"given":"Balachandra S.","family":"Ankad","sequence":"first","affiliation":[{"name":"Department of Dermatology, S. Nijalingappa Medical College, Bagalkot, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahana S.","family":"Hurakadli","sequence":"additional","affiliation":[{"name":"Department of Dermatology, S. Nijalingappa Medical College, Bagalkot, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eshritha","family":"Chigurupati","sequence":"additional","affiliation":[{"name":"Department of Dermatology, S. Nijalingappa Medical College, Bagalkot, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10,4]]},"reference":[{"key":"R1-20251023","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1016\/S1473-3099(18)30079-3","article-title":"Emergence of recalcitrant dermatophytosis in India","volume":"18","author":"Bishnoi","year":"2018","journal-title":"Lancet Infect Dis"},{"key":"R2-20251023","doi-asserted-by":"crossref","first-page":"312","DOI":"10.3390\/jof8030312","article-title":"Tinea incognito-A great physician pitfall","volume":"8","author":"Nowowiejska","year":"2022","journal-title":"J Fungi (Basel)"},{"key":"R3-20251023","doi-asserted-by":"crossref","first-page":"8323","DOI":"10.4081\/dr.2020.8323","article-title":"Tinea incognito:Clinical perspectives of a new imitator","volume":"12","author":"Dhaher","year":"2020","journal-title":"Dermatol Reports"},{"key":"R4-20251023","first-page":"237","article-title":"Tacrolimus-induced tinea incognito","volume":"73","author":"Siddaiah","year":"2004","journal-title":"Cutis"},{"key":"R5-20251023","doi-asserted-by":"crossref","first-page":"265","DOI":"10.4103\/0019-5154.182417","article-title":"Topical steroid damaged\/dependent face (TSDF):An entity of cutaneous pharmacodependence","volume":"61","author":"Lahiri","year":"2016","journal-title":"Indian J Dermatol"},{"key":"R6-20251023","doi-asserted-by":"crossref","first-page":"40","DOI":"10.25259\/IJDVL_11_2020","article-title":"Dermoscopy of topical steroid-dependent or damaged face:A cross-sectional study","volume":"88","author":"Sethi","year":"2022","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"R7-20251023","doi-asserted-by":"crossref","first-page":"202","DOI":"10.4103\/idoj.IDOJ_190_19","article-title":"Dermoscopic characterization of dermatophytosis:A preliminary observation","volume":"11","author":"Ankad","year":"2020","journal-title":"Indian Dermatol Online J"},{"key":"R8-20251023","doi-asserted-by":"crossref","first-page":"530","DOI":"10.4103\/idoj.IDOJ_423_18","article-title":"Can dermoscopy serve as a diagnostic tool in dermatophytosis?A pilot study","volume":"10","author":"Bhat","year":"2019","journal-title":"Indian Dermatol Online J"},{"key":"R9-20251023","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1016\/j.abd.2019.09.017","article-title":"Dermoscopy- a simple and rapid in vivo diagnostic technique for tinea incognito","volume":"94","author":"Sonthalia","year":"2019","journal-title":"An Bras Dermatol"},{"key":"R10-20251023","doi-asserted-by":"crossref","first-page":"13","DOI":"10.5530\/097483261413","article-title":"Skin changes on the face caused by over-the counter cosmetic creams:An observational study of clinical and dermoscopy features","volume":"16","author":"Ankad","year":"2023","journal-title":"India J Pharma Pract"},{"key":"R11-20251023","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1111\/ijd.15729","article-title":"International dermoscopy society criteria for non-neoplastic dermatoses (general dermatology):Validation for skin of color through a Delphi expert consensus","volume":"61","author":"Errichetti","year":"2022","journal-title":"Int J Dermatol"},{"key":"R12-20251023","doi-asserted-by":"crossref","first-page":"e464","DOI":"10.1002\/hsr2.464","article-title":"Dermoscopy for cutaneous fungal infections:A brief review","volume":"5","author":"Lim","year":"2022","journal-title":"Health Sci Rep"},{"key":"R13-20251023","doi-asserted-by":"crossref","first-page":"326","DOI":"10.4103\/ijdvl.IJDVL_297_16","article-title":"Clinico-epidemiological study of tinea incognito with microbiological correlation","volume":"83","author":"Dutta","year":"2017","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"R14-20251023","doi-asserted-by":"crossref","first-page":"219","DOI":"10.4103\/ijd.IJD_84_17","article-title":"A closer look at the term 'tinea incognito':A factual as well as grammatical inaccuracy","volume":"62","author":"Verma","year":"2017","journal-title":"Indian J Dermatol"},{"key":"R15-20251023","doi-asserted-by":"crossref","first-page":"208","DOI":"10.4103\/idoj.IDOJ_259_19","article-title":"Study of clinical profile of patients presenting with topical steroid-induced facial dermatosis to a tertiary care hospital","volume":"11","author":"Jain","year":"2020","journal-title":"Indian Dermatol Online J"},{"key":"R16-20251023","doi-asserted-by":"crossref","first-page":"136","DOI":"10.4103\/CDR.CDR_19_19","article-title":"Dermoscopic differentiation of pustular psoriasis and tinea incognito","volume":"4","author":"Ankad","year":"2020","journal-title":"Clin Dermatol Rev"},{"key":"R17-20251023","doi-asserted-by":"crossref","first-page":"286","DOI":"10.4103\/idoj.IDOJ_301_17","article-title":"Dermoscopy of Topical Steroid Damaged\/Dependent Face","volume":"9","author":"Jakhar","year":"2018","journal-title":"Indian Dermatol Online J"},{"key":"R18-20251023","doi-asserted-by":"crossref","first-page":"819","DOI":"10.4103\/0378-6323.120741","article-title":"Dermoscopic criteria for differentiating exogenous ochronosis from melasma","volume":"79","author":"Khunger","year":"2013","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"R19-20251023","doi-asserted-by":"crossref","first-page":"e32","DOI":"10.1111\/ijd.14278","article-title":"Dermoscopy as a useful tool in diagnosis of tinea incognito","volume":"58","author":"Piccolo","year":"2019","journal-title":"Int J Dermatol"},{"key":"R20-20251023","doi-asserted-by":"crossref","first-page":"286","DOI":"10.5021\/ad.2014.26.2.286","article-title":"'Clues'for the histological diagnosis of tinea:How reliable are they?","volume":"26","author":"Park","year":"2014","journal-title":"Ann Dermatol"},{"key":"R21-20251023","first-page":"35","article-title":"Usefulness of dermoscopy in the diagnosis and monitoring treatment of demodicidosis","volume":"7","author":"Friedman","year":"2017","journal-title":"Dermatol Pract Concept"},{"key":"R22-20251023","doi-asserted-by":"crossref","first-page":"24","DOI":"10.4103\/idoj.IDOJ_561_20","article-title":"Dermatoscopic features of pigmentary diseases in ethnic skin","volume":"12","author":"Vinay","year":"2021","journal-title":"Indian Dermatol Online J"},{"key":"R23-20251023","doi-asserted-by":"crossref","first-page":"166","DOI":"10.5826\/dpc.0803a02","article-title":"The role of dermoscopy in a topical steroid-damaged face","volume":"8","author":"Sonthalia","year":"2018","journal-title":"Dermatol Pract Concept"},{"key":"R24-20251023","doi-asserted-by":"crossref","first-page":"1048","DOI":"10.1016\/j.jaad.2006.02.009","article-title":"The treatment of melasma:A review of clinical trials","volume":"55","author":"Gupta","year":"2006","journal-title":"J Am Acad Dermatol"},{"key":"R25-20251023","first-page":"e226","article-title":"Dermoscopic visualization of vellus hair involvement in tinea corporis:A criterion for systemic antifungal therapy?","volume":"32","author":"Knopfler","year":"2015","journal-title":"Pediatr Dermatol"},{"key":"R26-20251023","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1684\/ejd.2023.4450","article-title":"Facial tinea incognito:A clinical, dermoscopic and mycological study of 38 cases","volume":"33","author":"Kwak","year":"2023","journal-title":"Eur J Dermatol"},{"key":"R27-20251023","first-page":"e2020121","article-title":"Diagnostic accuracy of dermoscopy of actinic keratosis:A systematic review","volume":"10","author":"Vald\u00e9s-Morales","year":"2020","journal-title":"Dermatol Pract Concept"},{"key":"R28-20251023","doi-asserted-by":"crossref","first-page":"9","DOI":"10.5826\/dpc.0704a03","article-title":"White rosettes in discoid lupus erythematosus:A new dermoscopic observation","volume":"7","author":"Ankad","year":"2017","journal-title":"Dermatol Pract Concept"}],"container-title":["Indian Dermatology Online Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/idoj.idoj_57_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:18:05Z","timestamp":1787836685000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/idoj.idoj_57_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,4]]},"references-count":28,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/idoj.idoj_57_24","relation":{},"ISSN":["2229-5178","2249-5673"],"issn-type":[{"value":"2229-5178","type":"print"},{"value":"2249-5673","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,4]]},"assertion":[{"value":"2024-01-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-03","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}