A 30 yr old female presents with history of itching under right breast. On examination annular ring lesion was present under the breast. The diagnosis is
## **Core Concept**
The patient's presentation of itching under the right breast with an annular ring lesion is suggestive of a dermatophyte infection. This type of infection typically involves the skin and is caused by fungi that thrive in warm, moist environments. The condition described is commonly seen in intertriginous areas.
## **Why the Correct Answer is Right**
The correct answer, **Tinea corporis**, also known as ringworm, is a fungal infection of the skin caused by dermatophytes. It presents as annular (ring-shaped) lesions that are typically itchy and can appear anywhere on the body. The area under the breast is a common site for such infections due to the warm and moist environment, which is conducive to fungal growth. The lesions often have a clear center and raised, red borders.
## **Why Each Wrong Option is Incorrect**
- **Option A: Candidiasis**. While candidiasis can cause intertrigo and presents in warm, moist areas, it usually appears as bright red lesions with satellite papules or pustules, not typically as annular lesions.
- **Option B: Psoriasis**. Psoriasis can present in various forms, but it usually doesn't present as annular lesions in intertriginous areas. Psoriatic lesions are often well-demarcated, erythematous plaques with silvery scales.
- **Option D: Contact dermatitis**. This is an inflammatory skin condition caused by contact with irritants or allergens. It can present with itching and erythema but does not typically present as annular lesions.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that tinea infections (including tinea corporis) are often diagnosed clinically based on the characteristic appearance of the lesions. A useful diagnostic clue is the presence of scaling at the edge of the lesion. Treatment typically involves topical antifungal agents for uncomplicated cases.
## **Correct Answer:** . **Tinea corporis**