Trichophyton rubrum Bullous Tinea Pedis in a Child

To the Editor.— The occurrence of tinea pedis in childhood is often regarded as an "infrequent disease" in the dermatologic literature.1,2A recent clinical study by Kearse and Miller3did, however, document prepubertal tinea pedis to be more common than previously reported. A dermatophyte was identified in 8 of 15 children (aged 2 to 13 years) who were evaluated for foot dermatitis. We describe a case of bullous tinea pedis caused byTrichophyton rubrumin a 2-year-old girl, reinforcing the diagnostic value of skin scrapings for potassium hydroxide examination and fungal culture in the evaluation of a pediatric patient with "foot dermatitis." Report of a Case.— A 2-year-old white girl presented with a history of a pruritic left foot "rash" of 5 weeks' duration. Several days of initial home therapy with ciclopirox and nystatin/triamcinolone creams were without benefit. Two weeks prior to presentation, Betadine foot soaks and a