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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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