Trichophyton mentagrophytes 에 의한 전신몸백선 1예
Disseminated Tinea Corporis by Trichophyton mentagrophytes
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Trichophyton(T.) mentagrophytes is a zoophilic or anthropophylic dermatophyte causing cutaneous human fungal disease. Atypical, disseminated clinical presentations may be seen in immunocompromised patients. It is also hard to diagnose tinea corporis when patients are using corticosteroid or have other dermatologic diseases. Herein, we report on an interesting case of tinea corporis caused by T. mentagrophytes in a patient with Cushing syndrome. A 75-year-old woman presented with pruritic, scaly, erythematous patches, papules and plaques on the face, neck, trunk and extremities for 7 months. She had been diagnosed with psoriasis at the local clinic and taking steroid (prednisolone, 20 mg/day) intermittently for 17 years. Potassium hydroxide smear showed several hyphae on microscope. Fungus culture showed a growth of colonies with whitish granular colonies surface and yellowish brown colored reverse. Characteristic grape-shaped microconidia, spiral hyphae and macroconidia were shown on the lactophenol cotton blue stain identified the colony as T. mentagrophytes. Lesions showed a marked improvement with oral itraconazole 200 mg/day for 14 days and topical lanoconazole cream for 30 days. It is important that when patient has eczematous lesions which are resistant to treatment, we should consider tinea incognito.
Abstract
Trichophyton(T.) mentagrophytes is a zoophilic or anthropophylic dermatophyte causing cutaneous human fungal disease. Atypical, disseminated clinical presentations may be seen in immunocompromised patients. It is also hard to diagnose tinea corporis when patients are using corticosteroid or have other dermatologic diseases. Herein, we report on an interesting case of tinea corporis caused by T. mentagrophytes in a patient with Cushing syndrome. A 75-year-old woman presented with pruritic, scaly, erythematous patches, papules and plaques on the face, neck, trunk and extremities for 7 months. She had been diagnosed with psoriasis at the local clinic and taking steroid (prednisolone, 20 mg/day) intermittently for 17 years. Potassium hydroxide smear showed several hyphae on microscope. Fungus culture showed a growth of colonies with whitish granular colonies surface and yellowish brown colored reverse. Characteristic grape-shaped microconidia, spiral hyphae and macroconidia were shown on the lactophenol cotton blue stain identified the colony as T. mentagrophytes. Lesions showed a marked improvement with oral itraconazole 200 mg/day for 14 days and topical lanoconazole cream for 30 days. It is important that when patient has eczematous lesions which are resistant to treatment, we should consider tinea incognito.
참고문헌 (20)
- 김은정, "항암요법 치료 중인 다발성 골수종 환자에서 원심고리홍반으로 발현한 몸백선 1예", 대한의진균학회지, 14(3), pp.150~154 (2009), 대한의진균학회
- Laguna C, "Tinea corporis in a psoriatic patient", Mycoses, 55, pp.90~92 (2012)
- Ziemer M, "Atypical manifestations of tinea corporis", Mycoses, 50, pp.31~35 (2007)
- 이원주, "Decreasing Incidence of Trichophyton mentagrophytes in Korea: Analysis of 6,250 Cases during the Last 21-Year-Period (1992-2012)", Journal of Korean Medical Science, 29(2), pp.272~276 (2014), 대한의학회
- 박새보미, "비전형적인 임상 양상을 보인 Trichophyton mentagrophytes 에 의한 얼굴백선 1예", 대한의진균학회지, 15(4), pp.170~174 (2010), 대한의진균학회
- Ive FA, "Tinea incognito", Br Med J, 3, pp.149~152 (1968)
- 서동우, "습진 질환으로 오진된 잠행 백선 2예", 대한의진균학회지, 18(4), pp.117~121 (2013), 대한의진균학회
- 박진, "얼굴과 목에 발생한 잠행 백선", 대한의진균학회지, 19(3), pp.71~75 (2014), 대한의진균학회
- 최재우, "아토피 피부염 환자에서 0.03% Tacrolimus (Protopic®) 연고 도포 후 발생한 잠행 백선", 대한의진균학회지, 17(4), pp.240~242 (2012), 대한의진균학회
- 이종선, "항진균제 치료와 관련하여 임상 양상의 변화를 보인 잠행 백선", 대한의진균학회지, 16(3), pp.118~123 (2011), 대한의진균학회
- 황성민, "다리에 발생한 습진모양 잠행백선", 대한의진균학회지, 16(2), pp.51~55 (2011), 대한의진균학회
- 한태영, "절종증의 임상양상을 보인 잠행 백선 1예", 대한의진균학회지, 13(3), pp.138~141 (2008), 대한의진균학회
- 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)
- 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)
- Boardman CR, "Tinea versicolor in steroid-treated patients. Incidence in patients with chronic ulcerative colitis and regional enteritis treated with corticotropin and corticosteroids", Arch Dermatol, 85, pp.44~52 (1962)
- 김원정, "Tinea Incognito in Korea and Its Risk Factors: Nine-Year Multicenter Survey", Journal of Korean Medical Science, 28(1), pp.145~151 (2013), 대한의학회
- Lee HJ, "A case of primary cutaneous alternariosis with iatrogenic cushing syndrome", Korean J Dermatol, 34, pp.495~499 (1996)
- Pires CA, "Mendes AM. Clinical, epidemiological, and therapeutic profile of dermatophytosis", An Bras Dermatol, 89, pp.259~264 (2014)