비전형적인 임상 양상을 보인 Trichophyton mentagrophytes 에 의한 얼굴백선 1예
A Case of Tinea Faciei Caused by Trichophyton mentagrophytes with Atypical Presentation
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Tinea faciei is a dermatophyte infection of the glabrous part of facial skin most commonly caused by the Trichophyton species. Tinea faciale has been classified as part of tinea corporis but recently for its unique features, it is being considered a separate disease entity. Tinea faciale is a relatively rare dermatophytosis and is characterized by clinical polymorphism, which leads to frequent misdiagnosis and mistreatment with corticosteroids. Long term treatment with glucocorticoids can subsequently lead to tinea incognito. Herein we describe an unusual case of tinea faciei caused by T. mentagrophytes in a 40-year-old women with erythematous facial eruptions, initially misdiagnosed as allergic contact dermatitis and rosacea. By using mycological and histological examinations, dermatophytosis caused by Trichophyton mentagrophytes was confirmed. Oral terbinafine was administered together with topical clotrimazole and hydrocortisone for 4 weeks.
Abstract
Tinea faciei is a dermatophyte infection of the glabrous part of facial skin most commonly caused by the Trichophyton species. Tinea faciale has been classified as part of tinea corporis but recently for its unique features, it is being considered a separate disease entity. Tinea faciale is a relatively rare dermatophytosis and is characterized by clinical polymorphism, which leads to frequent misdiagnosis and mistreatment with corticosteroids. Long term treatment with glucocorticoids can subsequently lead to tinea incognito. Herein we describe an unusual case of tinea faciei caused by T. mentagrophytes in a 40-year-old women with erythematous facial eruptions, initially misdiagnosed as allergic contact dermatitis and rosacea. By using mycological and histological examinations, dermatophytosis caused by Trichophyton mentagrophytes was confirmed. Oral terbinafine was administered together with topical clotrimazole and hydrocortisone for 4 weeks.
참고문헌 (11)
- James WD, "Andrew's diseases of the skin. Clinical dermatology. 10th ed", pp.298~30 (2006), WB Saunders
- Meymandi S, "Tinea faciei mimicking cutaneous lupus erythematosus: a histopathologic case report", J Am Acad Dermatol, 48, pp.S7~S8 (2003)
- David HF, "Tinea of the face caused by Trichophyton rubrum with histologic change or granuloma faciale", J Am Acad Dermatol, 18, pp.403~406 (1988)
- Lee MW, "A clinical characteristics of tinea faciei and its mycological findings", Kor J Dermatol, 32, pp.662~668 (1994)
- Richie LL, "ETinea faciei, an often deceptive facial eruption", Int J Dermatol, 43, pp.437~440 (2004)
- Lee SJ, "Rosacea-like tinea faciei", Int J Dermatol, 38, pp.479~480 (1999)
- 김우진, "안면 백선의 임상적 특징과 진균학적 소견", 대한의진균학회지, 10(3), pp.91~100 (2005), 대한의진균학회1
- Kim KH, "Identification of dermatophytes", Kor J Med Mycol, 2, pp.1~7 (1997)
- Lim SH, "Clinical and mycological studies of dermatophytosis in human transmitted from infected rabbits", Kor J Med Mycol, 5, pp.160~166 (2000)
- Verma S, "Fungal disease in Fitzpatrick's dermatology in general medicine. 7th ed.", pp.1807~1810 (2007), McGraw-Hill
- Lange M, "Tinea incognito due to Trichophyton mentagrophytes", Mycoses (2009)