Steroid-induced Superficial Fungal Infections: A Case of Prednisone-Associated Tinea Corporis and Tinea Cruris

Abstract

This case report addresses the complicated relationship between systemic corticosteroid use and the development of opportunistic fungal infections. A 39-year-old female patient, with a history of prednisolone usage, came with tinea corporis and tinea cruris. These illnesses, which are made worse by prednisolone's immunosuppressive effects, are an example of tinea incognito, a condition in which corticosteroid medication changes the clinical appearance of fungal infections. The patient's overall situation was made more difficult by her unreported fever, widespread body aches, and severe pruritus. The case emphasizes the need for a complete medical history, especially regarding medication, to identify potential iatrogenic symptoms. It highlights the importance of monitoring dermatological side effects in corticosteroid users. The co-diagnosis of generalized anxiety disorder and acid reflux underscores the necessity for a comprehensive care strategy addressing both mental and physical health. The conclusion calls for patient education on corticosteroid risks and the value of multidisciplinary care for complex cases with multiple comorbidities.