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Allergic contact dermatitis

An eczematous reaction in a pattern corresponding to an allergen, which is intensely pruritic and may have vesicles, unlike the annular shape of tinea.

Bowen's disease

Presents as a persistent, solitary, erythematous, scaly plaque (carcinoma in situ), which does not respond to antifungals.

Candida

An infection favoring moist, intertriginous areas, characterized by beefy-red erythema and classic satellite pustules.

Contact dermatitis

Distinguished by its distribution, which conforms to the area of contact with an irritant or allergen.

Discoid eczema

Presents as intensely pruritic, coin-shaped, weeping, or crusted plaques without the central clearing seen in tinea.

Discoid lupus erythematosis

Causes atrophic, scarred plaques with follicular plugging, a different morphology than the active border of tinea.

Erythrasma

A bacterial infection in skin folds that appears as a brown or pink patch and fluoresces a classic coral-red under a Wood's lamp.

Intertrigo

Simple inflammation of skin folds from friction and moisture, which lacks the scaly, active border of tinea.

Irritant dermatitis

An eczematous reaction caused by a chemical or physical irritant, lacking the annular shape and positive KOH prep of tinea.

Juvenile plantar dermatosis

Affects the weight-bearing surfaces of the feet in children, causing a glazed, shiny erythema with fissuring, sparing the web spaces.

Paget's disease

A unilateral, eczematous-appearing plaque on the nipple or genital region, which is an underlying adenocarcinoma.

Pitted keratolysis

A bacterial infection of the soles causing shallow pits and a foul odor, not the scaling or inflammation of tinea pedis.

Psoriasis

Can be annular, but is characterized by a deeper red color and a silvery scale, with a negative KOH prep.

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