{"id":"https://openalex.org/W7213861989","doi":"https://doi.org/10.7759/cureus.116671","title":"When Steroids Backfire: Tinea Incognito Following Treatment for Presumed Psoriasis","display_name":"When Steroids Backfire: Tinea Incognito Following Treatment for Presumed Psoriasis","publication_year":2026,"publication_date":"2026-09-21","ids":{"openalex":"https://openalex.org/W7213861989","doi":"https://doi.org/10.7759/cureus.116671","pmid":"https://pubmed.ncbi.nlm.nih.gov/42910354","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13686697"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.116671","doi":"https://doi.org/10.7759/cureus.116671","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.116671","pdf_url":"https://www.cureus.com/articles/522685-when-steroids-backfire-tinea-incognito-following-treatment-for-presumed-psoriasis.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/522685-when-steroids-backfire-tinea-incognito-following-treatment-for-presumed-psoriasis.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5095880618","display_name":"Nicole A. Skalka","orcid":"https://orcid.org/0009-0006-4149-5953","observed_orcids":["https://orcid.org/0009-0006-4149-5953"]},"institutions":[{"id":"https://openalex.org/I109362141","display_name":"Rocky Vista University","ror":"https://ror.org/05d6xwf62","country_code":"US","type":"education","lineage":["https://openalex.org/I109362141"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Nicole Skalka","raw_affiliation_strings":["Dermatology, Rocky Vista University College of Osteopathic Medicine, Ivins, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dermatology, Rocky Vista University College of Osteopathic Medicine, Ivins, USA","institution_ids":["https://openalex.org/I109362141"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5118857619","display_name":"Nathaniel Marroquin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I159344633","display_name":"Kansas City University","ror":"https://ror.org/052em3f88","country_code":"US","type":"education","lineage":["https://openalex.org/I159344633"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nathaniel Marroquin","raw_affiliation_strings":["Dermatology, Kansas City University-Graduate Medical Education Consortium, Advanced Dermatology and Cosmetic Surgery-Orlando Program, Maitland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dermatology, Kansas City University-Graduate Medical Education Consortium, Advanced Dermatology and Cosmetic Surgery-Orlando Program, Maitland, USA","institution_ids":["https://openalex.org/I159344633"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5152392545","display_name":"Jay Nguyen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I159344633","display_name":"Kansas City University","ror":"https://ror.org/052em3f88","country_code":"US","type":"education","lineage":["https://openalex.org/I159344633"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jay Nguyen","raw_affiliation_strings":["Dermatology, Kansas City University-Graduate Medical Education Consortium, Advanced Dermatology and Cosmetic Surgery-Orlando Program, Maitland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dermatology, Kansas City University-Graduate Medical Education Consortium, Advanced Dermatology and Cosmetic Surgery-Orlando Program, Maitland, USA","institution_ids":["https://openalex.org/I159344633"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109216774","display_name":"Panagiotis \u2018Takis\u2019 Mitropoulos","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I159344633","display_name":"Kansas City University","ror":"https://ror.org/052em3f88","country_code":"US","type":"education","lineage":["https://openalex.org/I159344633"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Panagiotis Mitropoulos","raw_affiliation_strings":["Dermatology, Kansas City University-Graduate Medical Education Consortium, Advanced Dermatology and Cosmetic Surgery-Orlando Program, Maitland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dermatology, Kansas City University-Graduate Medical Education Consortium, Advanced Dermatology and Cosmetic Surgery-Orlando Program, Maitland, USA","institution_ids":["https://openalex.org/I159344633"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5119396100","display_name":"Patrick Dominguez","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I159344633","display_name":"Kansas City University","ror":"https://ror.org/052em3f88","country_code":"US","type":"education","lineage":["https://openalex.org/I159344633"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Patrick Dominguez","raw_affiliation_strings":["Dermatology, Kansas City University-Graduate Medical Education Consortium, Advanced Dermatology and Cosmetic Surgery-Orlando Program, Maitland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dermatology, Kansas City University-Graduate Medical Education Consortium, Advanced Dermatology and Cosmetic Surgery-Orlando Program, Maitland, USA","institution_ids":["https://openalex.org/I159344633"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5095880618"],"corresponding_institution_ids":["https://openalex.org/I109362141"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.69721836,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"9","first_page":"e116671","last_page":"e116671"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11253","display_name":"Nail Diseases and Treatments","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2708","display_name":"Dermatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11253","display_name":"Nail Diseases and Treatments","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2708","display_name":"Dermatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11037","display_name":"Fungal Infections and Studies","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10837","display_name":"Dermatology and Skin Diseases","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2708","display_name":"Dermatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tinea-incognito","display_name":"tinea incognito","score":1.0},{"id":"https://openalex.org/keywords/dermatophytosis","display_name":"dermatophytosis","score":0.7820000052452087},{"id":"https://openalex.org/keywords/corticosteroid-side-effects","display_name":"corticosteroid adverse effects","score":0.8270000219345093},{"id":"https://openalex.org/keywords/clobetasol-propionate","display_name":"clobetasol propionate","score":0.7829999923706055},{"id":"https://openalex.org/keywords/roflumilast","display_name":"roflumilast","score":0.968999981880188},{"id":"https://openalex.org/keywords/potassium-hydroxide-preparation","display_name":"potassium hydroxide preparation","score":0.902999997138977},{"id":"https://openalex.org/keywords/fungal-skin-infection","display_name":"fungal skin infection","score":0.593999981880188},{"id":"https://openalex.org/keywords/immunosuppressive-drugs","display_name":"immunosuppressants","score":0.7929999828338623}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9887999892234802},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.8025000095367432},{"id":"https://openalex.org/C2780564577","wikidata":"https://www.wikidata.org/wiki/Q179945","display_name":"Psoriasis","level":2,"score":0.7506999969482422},{"id":"https://openalex.org/C2779911711","wikidata":"https://www.wikidata.org/wiki/Q30314007","display_name":"Pustular psoriasis","level":3,"score":0.26660001277923584},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.25699999928474426},{"id":"https://openalex.org/C2776972258","wikidata":"https://www.wikidata.org/wiki/Q3705665","display_name":"Depigmentation","level":2,"score":0.20489999651908875},{"id":"https://openalex.org/C2777673923","wikidata":"https://www.wikidata.org/wiki/Q79928","display_name":"Acne","level":2,"score":0.20350000262260437},{"id":"https://openalex.org/C63433958","wikidata":"https://www.wikidata.org/wiki/Q1774688","display_name":"Clinical pharmacology","level":2,"score":0.2012999951839447},{"id":"https://openalex.org/C2779234776","wikidata":"https://www.wikidata.org/wiki/Q7262033","display_name":"Pustulosis","level":4,"score":0.19290000200271606},{"id":"https://openalex.org/C2910774642","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatologic agents","level":3,"score":0.1889999955892563}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.116671","doi":"https://doi.org/10.7759/cureus.116671","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.116671","pdf_url":"https://www.cureus.com/articles/522685-when-steroids-backfire-tinea-incognito-following-treatment-for-presumed-psoriasis.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13686697","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13686697/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13686697/pdf/cureus-0018-00000116671.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:42910354","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42910354","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.7759/cureus.116671","doi":"https://doi.org/10.7759/cureus.116671","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.116671","pdf_url":"https://www.cureus.com/articles/522685-when-steroids-backfire-tinea-incognito-following-treatment-for-presumed-psoriasis.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9537000060081482}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7213861989.pdf","grobid_xml":"https://content.openalex.org/works/W7213861989.grobid-xml"},"referenced_works_count":5,"referenced_works":["https://openalex.org/W2082023874","https://openalex.org/W3012743429","https://openalex.org/W4213171458","https://openalex.org/W4396664793","https://openalex.org/W4399208127"],"related_works":["https://openalex.org/W4367317495","https://openalex.org/W2568653464","https://openalex.org/W6911991758","https://openalex.org/W7150949569","https://openalex.org/W162259413","https://openalex.org/W2606855194","https://openalex.org/W3100499199","https://openalex.org/W4402535154","https://openalex.org/W7220163267","https://openalex.org/W952815404"],"abstract_inverted_index":{"Tinea":[0],"incognito":[1],"is":[2,52],"an":[3,65],"altered":[4],"clinical":[5],"presentation":[6],"of":[7,25,31,41,111,119,124,140],"a":[8,49,54,121,133],"dermatophyte":[9],"infection":[10,51,128],"that":[11],"develops":[12],"following":[13],"treatment":[14,76],"with":[15,77,132],"topical":[16],"or":[17,20,151],"systemic":[18],"corticosteroids":[19,150],"other":[21,152],"immunosuppressive":[22,153],"agents.":[23,154],"Suppression":[24],"inflammation":[26],"temporarily":[27],"improves":[28],"the":[29,32,36,42,109,117,138],"appearance":[30,40],"eruption":[33,90,135],"while":[34],"masking":[35],"characteristic":[37],"annular,":[38],"scaly":[39,134],"infection,":[43],"making":[44],"diagnosis":[45,110],"more":[46],"challenging.":[47],"If":[48],"fungal":[50,67,105,127],"suspected,":[53],"potassium":[55],"hydroxide":[56],"(KOH)":[57],"preparation":[58,103],"should":[59],"be":[60],"performed":[61],"to":[62,73,108,148],"evaluate":[63],"for":[64,86,126],"underlying":[66],"etiology.":[68],"A":[69],"43-year-old":[70],"male":[71],"presented":[72],"dermatology":[74],"after":[75],"clobetasol":[78],"propionate":[79],"0.05%":[80],"cream":[81,85],"and":[82,96,136],"roflumilast":[83],"0.3%":[84],"presumed":[87],"psoriasis.":[88],"His":[89],"initially":[91],"improved":[92],"but":[93],"subsequently":[94],"recurred":[95],"progressively":[97],"worsened":[98],"over":[99],"three":[100],"months.":[101],"KOH":[102,145],"revealed":[104],"hyphae,":[106],"leading":[107],"tinea":[112],"incognito.":[113],"This":[114],"case":[115],"highlights":[116],"importance":[118],"maintaining":[120],"high":[122],"index":[123],"suspicion":[125],"in":[129],"patients":[130],"presenting":[131],"underscores":[137],"value":[139],"diagnostic":[141],"tools,":[142],"such":[143],"as":[144],"preparation,":[146],"prior":[147],"initiating":[149]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-09-22T00:00:00"}