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Images in paediatrics
An unresponsive rash to topical steroids: tinea incognito
  1. Stephanie Jessica Wan,
  2. Irene Lara-Corrales
  1. Department of Pediatric Medicine, Section of Dermatology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
  1. Correspondence to Dr Irene Lara-Corrales, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, Canada M5G 1X8; irene.lara-corrales{at}, stephanie.wan{at}

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A previously healthy 7-year-old girl presented to our clinic with a 10 cm annular, pruritic plaque with well-demarcated erythematous, scaly borders and concentric rings over her left eye (figure 1A). She had been diagnosed 3 months prior with eyelid dermatitis and had been prescribed mid-potency topical corticosteroids. Due to the progression of her rash, she was given increasingly more potent topical steroids. The initial small, erythematous, scaly plaque grew to contain multiple concentric …

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  • Contributors Substantial contribution to the conception of the work was done by both SJW and IL-C. Drafting the work or revising was done by SJW and IL-C, with final approval of the version submitted from all authors. SJW and IL-C agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement No additional unpublished data from the manuscript exists.