절종증의 임상양상을 보인 잠행 백선 1예
A Case of Tinea Incognito Presented like Furunculosis
1
조회
0
다운로드
7
인용
0
참고문헌
키워드
초록
Tinea incognito is a dermatophytosis of atypical clinical character due to the absence of classic features of ringworm. It is caused by prolonged use of topical or systemic corticosteroids, sometimes prescribed as a result of incorrect diagnosis. We report a case of tinea incognito presented like furunculosis on the chin. The patient had been treated with topical and oral corticosteroid under the impression of atopic dermatitis for 3 years for the eczematous lesion on the face and trunk. Mycologic studies including KOH mount and fungus culture were positive for hyphae and colonies of richophyton rubrum. Skin biopsy showed fungal hyphae in follicular keratinous plug and diffuse dermal and perifollicular inflammation. The lesion was treated with terbinafine systemically and cured 3 months later.
Abstract
Tinea incognito is a dermatophytosis of atypical clinical character due to the absence of classic features of ringworm. It is caused by prolonged use of topical or systemic corticosteroids, sometimes prescribed as a result of incorrect diagnosis. We report a case of tinea incognito presented like furunculosis on the chin. The patient had been treated with topical and oral corticosteroid under the impression of atopic dermatitis for 3 years for the eczematous lesion on the face and trunk. Mycologic studies including KOH mount and fungus culture were positive for hyphae and colonies of richophyton rubrum. Skin biopsy showed fungal hyphae in follicular keratinous plug and diffuse dermal and perifollicular inflammation. The lesion was treated with terbinafine systemically and cured 3 months later.
참고문헌 (17)
- Ive FA, "Tinea incognito", Br Med J, 3, pp.149~152 (1968)
- Romano C, "Tinea incognito in Italy: a 15-year survey", Mycoses, 49, pp.383~387 (2006)
- Elgart ML, "Tinea incognito: an update on Majocchi granuloma", Dermatol Clin, 14, pp.51~55 (1996)
- Meehan K., "A growing, pruritic plaque on the thigh.Majocchi's granuloma with secondary tinea incognito", JAAPA, 15(16), pp.65~ (2002)
- Marks R., "Tinea incognito", Int J Dermatol, 17, pp.301~302 (1978)
- Feder HM., "Tinea incognito misdiagnosed as erythema migrans", N Engl J Med, 343(69) (2000)
- Jacobs PH., "Majocchi's granuloma (due to therapy with steroid and occlusion)", Cutis, 38, pp.23~ (1986)
- Hay RJ., "Mycology,Textbook of dermatology. 6th ed", pp.1277~1377 (1998), Blackwell Science
- Pustisek N, "Tinea incognito caused by trichophyton mentagrophytes", Acta Dermatovenerol Croat, 9, pp.283~286 (2001)
- Gorani A, "Case report. Rosacealike tinea incognito", Mycoses, 45, pp.135~137 (2002)
- Faergemann J, "Tinea incognito as a source of an "epidemic" of Trichophyton violaceum infections in a dermatologic ward", Int J Dermatol, 22, pp.39~40 (1983)
- Romano C, "Tinea incognito due to Microsporum gypseum in three children", Pediatr Dermatol, 17, pp.41~44 (2000)
- Kang HY, "A case of tinea incognito on the face due to Trichophyton mentagrophytes", Korean J Dermatol, 38, pp.1124~1126 (2000)
- Yang CW, "A case of tinea incognito", Korean J Dermatol, 27, pp.79~82 (1989)
- 최윤림, "1% Pimecrolimus (Elidel？) 크림 국소 도포 후 발생한 잠행 백선 1예", 대한피부과학회지, 44(6), pp.731~733 (2006), 대한피부과학회
- Kim KJ, "A case of tinea incognito presented as folliculitis", Korean J Dermatol, 39, pp.1328~1330 (2001)
- Ohta Y, "Local cytokine expression in steroid-modified tinea faciei", J Dermatol, 25, pp.362~366 (1998)