아토피 피부염 환자에서 발생한 Trichophyton rubrum에 의한 잠행백선 1예
Tinea Incognito due to Trichophyton rubrum in Atopic Dermatitis Patient
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초록
Tinea incognito is a dermatophytic infection with an atypical clinical presentation caused by previoustreatment with topical or systemic steroids, as well as by the topical application of calcineurin inhibitorssuch as pimecrolimus and tacrolimus. The diagnosis of tinea incognito is frequently delayed or misseddue to loss of typical appearance. Nowadays, as the use of steroid and topical calcineurin inhibitor hasbeen increasing, the incidence of tinea incognito has also increased. Here we report a case of tineaincognito in a 19-year-old girl initially misdiagnosed as irritant contact dermatitis who also had atopicdermatitis and onychomycosis on the left 3rd finger nail. On the basis of the detection of hyphae onKOH examinations and isolation of Trichophyton rubrum by fungus culture, she was successfully treatedwith oral terbinafine 250 mg/day and topical terbinafine for 12 weeks.
Abstract
Tinea incognito is a dermatophytic infection with an atypical clinical presentation caused by previoustreatment with topical or systemic steroids, as well as by the topical application of calcineurin inhibitorssuch as pimecrolimus and tacrolimus. The diagnosis of tinea incognito is frequently delayed or misseddue to loss of typical appearance. Nowadays, as the use of steroid and topical calcineurin inhibitor hasbeen increasing, the incidence of tinea incognito has also increased. Here we report a case of tineaincognito in a 19-year-old girl initially misdiagnosed as irritant contact dermatitis who also had atopicdermatitis and onychomycosis on the left 3rd finger nail. On the basis of the detection of hyphae onKOH examinations and isolation of Trichophyton rubrum by fungus culture, she was successfully treatedwith oral terbinafine 250 mg/day and topical terbinafine for 12 weeks.
참고문헌 (12)
- 황성민, "다리에 발생한 습진모양 잠행백선", 대한의진균학회지, 16(2), pp.51~55 (2011), 대한의진균학회
- 유광호, "아토피피부염 환자에서의 표재성 진균증", 대한피부과학회지, 47(1), pp.1~5 (2009), 대한피부과학회
- Ive FA, "Tinea incognito", Br Med J, 3, pp.149~152 (1968)
- Arenas R, "Tinea incognito", Clinics in Dermatology, 28, pp.137~139 (2010)
- 최재우, "아토피 피부염 환자에서 0.03% Tacrolimus (Protopic®) 연고 도포 후 발생한 잠행 백선", 대한의진균학회지, 17(4), pp.240~242 (2012), 대한의진균학회
- 최윤림, "1% Pimecrolimus (Elidel？) 크림 국소 도포 후 발생한 잠행 백선 1예", 대한피부과학회지, 44(6), pp.731~733 (2006), 대한피부과학회
- Romano C, "Tinea incognito in Italy: a 15-year survey", Mycoses, 49, pp.383~387 (2006)
- 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
- Nenoff P, "Tinea faciei incognito due to Trichophyton rubrum as a result of autoinoculation from onychomycosis", Mycoses, 50, pp.20~25 (2007)
- Szepietowski JC, "Trichophyton rubrum autoinoculation from infected nails is not such a rare phenomenon", Mycoses, 51, pp.345~346 (2008)
- Szepietowski JC, "Factors influencing coexistence of toenail onychomycosis with tinea pedis and other dermatomycoses:a survey of 2761 patients", Arch Dermatol, 142, pp.1279~1284 (2006)
- 김태권, "피부 조직 검사로 처음 진단된 백선증의 임상, 병리조직 및 진균학적 소견", 대한피부과학회지, 47(12), pp.1345~1352 (2009), 대한피부과학회