Granulomatous Rosacea and Tinea Overlap: A Rare Combination

Rosacea is a chronic skin condition involving inflammation of the cheeks, nose, chin, forehead, or eyelids. It causes redness and pimples, mainly across the face. Granulomatous rosacea is a rare type of rosacea primarily occurring in middle-aged women. The cause is unknown, but both genetic and non-genetic factors contribute to this condition. As it has many differentials, it is very difficult to diagnose a lesion without a biopsy. Treatment is based on controlling the symptoms using medications, antibiotics, light therapy and other treatments. The long-term prognosis for these people depends on the severity of symptoms and the response to treatment. We present the case of a 34-year old woman who came with the diagnosis of Tinea faciei for a persistent annular lesion on the left side of her face, which on biopsy proved to be granulomatous rosacea.