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What is Tinea Barbae?

Tinea barbae is a fungal infection targeting the bearded area of the face and neck, often presenting as itchy, red patches. Caused by the same fungus responsible for athlete's foot, it can lead to hair loss and skin irritation. Intrigued by how this condition unfolds and the treatments available? Discover the visual journey of tinea barbae and its management strategies.
Geisha A. Legazpi
Geisha A. Legazpi

Tinea barbae is a fungal infection occurring on the bearded areas of the neck and face, specifically affecting the hair follicles. This infection, which is also called ringworm of the beard, mostly affects male adults and adolescents. It is also known as barber’s itch because in the past, the unsanitary razors used by barbers frequently served as the mode of transmission of the infection. Tinea barbae appears as inflammatory plaques or noninflammatory patches that resemble skin conditions such as tinea corporis or folliculitis. Treatment involves the topical application or oral intake of antifungal drugs.

This fungal infection is caused by dermatophytes, which are keratinophilic or keratin-loving fungi. Examples of keratinophilic dermatophytes include Trichophyton rubrum, Trichophyton violaceum, Trichophyton mentagrophytes, and Trichophyton verrucosum. Members of the genus Trichophyton are the most common organisms isolated, thus tinea barbae is also called trichophytosis barbae. In order to invade the skin and hair, these dermatophytes release enzymes such as keratinases, which break down keratin. Once these organisms have invaded the hair and hair follicles, the body reacts by inducing the inflammatory cascade.

Ringworm of the beard may produce unsightly flakes.
Ringworm of the beard may produce unsightly flakes.

Anthropophilic dermatophytes, which undergo human-to-human transmission, cause the noninflammatory superficial form of tinea barbae. This form resembles tinea corporis, or ringworm of the body, and may appear as reddish patches with vesicles and crusts. The inflammatory deeper form of this skin condition, caused by zoophilic dermatophytes, is called kerion. Characteristically, it looks like a reddish nodule with pustules which eventually lead to pus-filled masses that drain and become crusted. Associated symptoms including enlargement of neck lymph nodes, body pains, and fever often occur with kerion.

Tinea barbae can cause itching in the bearded areas of the neck and face.
Tinea barbae can cause itching in the bearded areas of the neck and face.

The incidence of tinea barbae has dropped because of sanitation and hygiene. It is, however, still common in warm and humid countries. In addition, rural inhabitants and agricultural workers are prone to this infection because dermatophytes are commonly acquired through animal-to-human transmission. The bearded areas of the neck and face are involved, thus this disease is almost exclusive to men. When similar areas are affected in women and children, the disease is called tinea faciei.

Tinea barbae may present in the form of a circular rash with reddish patches.
Tinea barbae may present in the form of a circular rash with reddish patches.

Shaving or depilation is recommended because hairs are affected in tinea barbae. Application of a warm compress helps remove the crusts and debris. Although antifungals can be applied topically, the better mode of medical treatment is oral intake of these drugs. Examples of antifungals used for tinea barbae are griseofulvin, terbinafine, itraconazole, and fluconazole. If tinea barbae is left untreated, scarring and permanent balding may occur.

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Discussion Comments

anon152922

my mother in law has this on her ear, her face, chin, and it has spread to her hands. Her knuckles are swollen, lumps on fingers in between knuckles. She is using a clotrimazole cream (with other drug ingredients - I forget what they are just now). Will this clear it up? What will happen if it continues to be undtreated?

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    • Ringworm of the beard may produce unsightly flakes.
      By: Jasmin Merdan
      Ringworm of the beard may produce unsightly flakes.
    • Tinea barbae can cause itching in the bearded areas of the neck and face.
      By: StockRocket
      Tinea barbae can cause itching in the bearded areas of the neck and face.
    • Tinea barbae may present in the form of a circular rash with reddish patches.
      By: schankz
      Tinea barbae may present in the form of a circular rash with reddish patches.
    • A warm compress will help remove crusts and debris of hairs affected in tinea barbae.
      By: happytotakephoto
      A warm compress will help remove crusts and debris of hairs affected in tinea barbae.
    • Tinea barbae pustules often appear as pus-filled masses that may drain on their own or need to be drained by a doctor.
      By: Ocskay Bence
      Tinea barbae pustules often appear as pus-filled masses that may drain on their own or need to be drained by a doctor.
    • Garlic may be used to treat ringworm of the beard.
      By: rmarinello
      Garlic may be used to treat ringworm of the beard.