Figure 1: Annular erythematous plaque with peripheral scale and
multiple blisters on the trunk and left flank
She was non diabetic and no family history of any autoimmune skin
conditions. She was immunocompetent and serological test for HIV,
Hepatitis B and Hepatitis C were negative. She was farmer with frequent
exposure to cattles. Immunological test for bullous lesions were
negative and we took the skin scrapping from the lesion and under KOH
preparation observed under microscope to see the branched septate hypae
confirming the diagnosis of Tinea. Figure 2. Patient was started on oral
itraconazole 100 mg twice daily for 2 weeks with topical luliconazole
for 1 months and followed up in a week and saw the lesion was resolving.
Patient was again followed up after 1 month and saw the complete
resolution of the condition with residual hyper-pigmentation.