백선 종창의 적절한 치료 후에 발생한 흉터형성탈모 1예
Occurring Scarring Alopecia after Appropriate Treatments of Kerion Celsi
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Kerion celsi is an inflammatory dermatophytosis of the scalp which is characterized by an acute suppurative process caused mainly by zoophilic dermatophytes. Systemic corticosteroid can be added to systemic antifungal treatment for reducing scarring alopecia, but focal cicatricial changes are unavoidable in a severe case. We report a case of kerion celsi caused by T. mentagrophytes, zoophilic dermatophyte,in a 7-year-old girl. This patient had localized painful erythematous crusted plaques with multiple inflammatory pustules on the scalp. Although she was initially treated with antifungal agent and systemic corticosteroid, focal scarring alopecia occurred eventually. Eventually, the cicatricial change was corrected surgically after two and a half years in spite of timely and appropriate treatment.
Abstract
Kerion celsi is an inflammatory dermatophytosis of the scalp which is characterized by an acute suppurative process caused mainly by zoophilic dermatophytes. Systemic corticosteroid can be added to systemic antifungal treatment for reducing scarring alopecia, but focal cicatricial changes are unavoidable in a severe case. We report a case of kerion celsi caused by T. mentagrophytes, zoophilic dermatophyte,in a 7-year-old girl. This patient had localized painful erythematous crusted plaques with multiple inflammatory pustules on the scalp. Although she was initially treated with antifungal agent and systemic corticosteroid, focal scarring alopecia occurred eventually. Eventually, the cicatricial change was corrected surgically after two and a half years in spite of timely and appropriate treatment.
참고문헌 (20)
- Verma S, "Superficial fungal infection: Dermatophytosis, Onychomycosis", pp.1807~1815 (2006), McGrawHill
- Jang BS, "case of Kerion Celsi Caused by Trichophyton mentagrophytes", Kor J Med Myco, 7, pp.86~91 (2002)
- 최천필, "Trichophyton mentagrophytes에 의한 두부독창 1예", 대한의진균학회지, 9(4), pp.230~233 (2004), 대한의진균학회1
- 김지은, "Trichophyton mentagrophytes에 의한 두부 독창 1예", 대한의진균학회지, 9(1), pp.45~48 (2004), 대한의진균학회1
- 박민우, "Trichophyton mentagrophytes에 의한 두부 독창", 대한의진균학회지, 11(4), pp.191~194 (2006), 대한의진균학회1
- 김수호, "햄스터에서 전염된 것으로 생각되는 Microsporum canis 에 의한 백선종창 1예", 대한의진균학회지, 14(1), pp.23~27 (2009), 대한의진균학회1
- 김상민, "두부백선의 임상 및 진균학적 고찰", 대한의진균학회지, 11(4), pp.184~190 (2006), 대한의진균학회1
- Finner AM, "Secondary cicatricial and other permanent alopecias", Dermatol Ther, 21, pp.279~294 (2008)
- Boven TF, "Permanent hair loss after kerion celci", Ugeskr Laeger, 153, pp.3151~3152 (1991)
- González U, "Jacobson J, Martínez-Monzón C. Systemic antifungal therapy for tinea capitis in children", Cochrane Database Syst Rev, 17, pp.CD004685~ (2007)
- Hussain I, "omparative trial of treatment of kerion celsi with griseofulvin plus oral prednisolone vs. griseofulvin alone", Med Mycol, 37, pp.97~99
- Ginsburg CM, "Randomized controlled trial of intralesional corticosteroid and griseofulvin vs. griseofulvin alone for treatment of keion", Pediatr Infect Dis J, 6, pp.1084~1087 (1987)
- 이양원, "동물접촉에 의한 피부 진균증의 임상 및 진균학적 고찰", 대한의진균학회지, 10(4), pp.151~159 (2005), 대한의진균학회1
- Foged EK, "Hair loss following kerion celsi-A follow-up examination", Mykosen, 27, pp.411~414 (1984)
- Aste N, "Kerion celsi: a clinical epidemiological study", Mycoses, 41, pp.169~173 (1998)
- Jaspers GJ, "Severe kerion celsi due to Trichophyton mentagrophytes: a case report" (2011), Acta Paediatr
- Unger W, "The surgical treatment of cicatricial alopecia", Dermatol Ther, 21, pp.295~311 (2008)
- Kron C, "Bulky superinfected tinea capitis of the scalp. Treatment by surgical resection and reconstruction by cutaneous expansion", Arch Pediatr, 5, pp.992~995 (1998)
- Fiedler L, "Surgical and ketoconazole treatment of a Kerion Celsi caused by Trichophyton mentagrophytes and Candida tropicalis", Mycoses, 1, pp.81~87 (1988)
- Mehrara BJ, "Scalp reconstruction", J Surq Oncol, 94, pp.504~508 (2006)
