This woman had red, scaly patches and plaques on her face, and a KOH demonstrated numerous fungal hyphae. Some authors maintain that fungal infection of the face should be treated with oral antifungals, and others maintain that topical antifungals are adequate. If there are any superimposed red papules or pustules within these red, scaly areas, that usually indicates a follicular infection, and oral agents are necessary to eradicate that.
