Tinea Imbricata

An 8-year-old aboriginal boy living in Gua Musang, Malaysia, presented with a 2-year history of a round, concentric, and scaly rash on his trunk. The rash was itchy and progressively spread to involve approximately 80% of the body surface area. His 32-year-old mother and 1-year-old sister had similar lesions. His history was otherwise unremarkable. Dermatologic examination revealed generalized concentric, annular, scaly, lamellar plaques with an overlapping-ring appearance over his trunk (Figure 1), limbs, and palmoplantar surfaces.

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