Tehami Dermatology

    Tinea corporis

    Identify an annular plaque with peripheral scale, an advancing border and relative central clearing.

    Updated: 2026-09-13

    Written for clinicians and medical students

    This section is a teaching reference for doctors, residents and medical students. It is not patient guidance and not a substitute for clinical examination, and it must not be used for self treatment.

    AI-generated clinical simulation of annular tinea corporis
    AI-generated image for education only. It is not a real patient photograph or pathology specimen.

    Teaching pattern: annular erythema with a raised scaly active edge and central clearing.

    Clinical clues

    • The active edge is usually more erythematous and scaly than the centre. Lesions enlarge centrifugally and are often itchy.[1]
    • Ask about infected household contacts, pets, contact sport, occlusive clothing and topical corticosteroid use.
    • Topical corticosteroids can suppress scale and distort the border, producing tinea incognito.[1]

    Confirm and differentiate

    • Scrape the active border for KOH microscopy before treatment when the diagnosis is uncertain.[2]
    • Consider nummular dermatitis, pityriasis rosea, granuloma annulare, psoriasis and erythema migrans according to morphology and history.

    Sources

    1. [1] DermNet, tinea corporis
    2. [2] Diagnosis and management of tinea infections, PubMed

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