Tinea

This 7-year-old presented with a pink, raised lesion on her upper left eyelid. The 1-cm lesion contained tiny vesicles and showed eccentric central clearing.

Two weeks before this picture was taken, the child was given a pet dog. The eyelid lesion developed one week after the child received her pet. The dog was undergoing treatment for ringworm.

This child has tinea of the left upper eyelid-a somewhat unusual location for this infection, according to Robert P. Blereau, MD, of Morgan City, La. The lesion was treated topically with econazole nitrate 1% cream twice a day, which brought about prompt resolution. Both the child and dog are currently tinea-free.

Contact with infected domestic animals (such as kittens and puppies) and with infected persons is thought to be the most common vector of dermatophyte transmission.