건선 환자에서 치료 중 발생한 백선 2예
Two Cases of Dermatophytosis in Patients with Psoriasis
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Psoriasis and tinea corporis have similar lesions that scaly erythematous patches, plaques and papules, and dermatophytosis have been considered rare in psoriasis. So, when the psoriatic lesion is resistant to conventional treatments, we regard worsening condition of psoriasis. It is difficult for us to diagnose dermatophytosis in the patient with psoriasis, when the lesion is atypical by steroid application. We report two cases of dermatophytosis in psoriatic patients. They had scaly lesions that suggested worsening of psoriasis but were not respond to conventional treatments. We found many hyphae on KOH examination from the lesions and isolated and identified Trichophyton rubrum on fungal culture. It is necessary for physicians to check dermatophytosis in patients who had atypical lesions or not better with conventional treatments.
Abstract
Psoriasis and tinea corporis have similar lesions that scaly erythematous patches, plaques and papules, and dermatophytosis have been considered rare in psoriasis. So, when the psoriatic lesion is resistant to conventional treatments, we regard worsening condition of psoriasis. It is difficult for us to diagnose dermatophytosis in the patient with psoriasis, when the lesion is atypical by steroid application. We report two cases of dermatophytosis in psoriatic patients. They had scaly lesions that suggested worsening of psoriasis but were not respond to conventional treatments. We found many hyphae on KOH examination from the lesions and isolated and identified Trichophyton rubrum on fungal culture. It is necessary for physicians to check dermatophytosis in patients who had atypical lesions or not better with conventional treatments.
참고문헌 (11)
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- "Psoriasis with tinea corporis", pp.158~160
- "Palmoplantar lesions in psoriatic patients and their relation to inverse psoriasis", pp.218~223 (1985)
- "구진 인설성 질환", pp.221~240 (2001), 서울: 여문각
- "A higher pre- valence of onychomycosis in psoriatics compared with non-psoriatics: a multicentre study", 136, pp.786~789 (1997)
- "Clinical and laboratory investigations pedal dermatophyte infection in psoriasis", 150, pp.1125~1128 (2004)
- "Onychomy- cosis in patients with psoriasis", pp.436~438 (1983)
- "Experimental inoculation of dermatophytes on psoriatic skin", pp.33~34
- "The incidence of skin manifestations by dermatophytes in patients with psoriasis", pp.37~39
- "Adverse effects of topical glucocorticoids", 54, pp.1~15 (2006)
- "체부 백선의 임상 및 진균학적 관찰", 42, pp.166~172 (2004), 대피지
