Case Number : Case 4161 - 02 January 2023 Posted By: Dr. Mona Abdel-Halim

To me look more like pseudohypahe favouring disseminated Cadidiasis over Tinea, although not very sure

Agree - either Candida or Dermatophyte.  Given the history of SLE, suspect patient is immunosuppressed, perhaps making disseminated Candidosis more likely.

I think that these are true hyphae as they are septate and also show branching.

Agree with Colleagues. 

Is this the same patient as case 4156 from last month?

It seems that there is a mistake! Yes this is the same as the case of December 26th… Disseminated dermatophyte infection (Tinea incognito)

Would have guessed dermatophyte. Candida often have the pseudohyphae orientated more vertically across the stratum corneum in my experience but that might be only my personal experience. 

Dermatophytosis