얼굴과 목에 발생한 잠행 백선
Tinea Incognito on the Face and Neck
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초록
Tinea incognito is a dermatophytosis modified by previous treatments such as prolonged use ofcorticosteroids. Because the lesions often atypical appearing without classic features of ringworm, thediagnosis can be delayed or missed especially when tinea incognito is on the face and neck. A 75-yearoldmale patient who had been treated with topical steroids at the local dermatologic clinic for 10 yearsfor the eczematous lesion on the scalp and face and recently the lesions spread throughout his neck andback. Physical examination showed ill-defined erythematous scaly patches on the face, neck and backand reddish crusted papules on the scalp. Potassium hydroxide (KOH) preparation on the left face andright neck showed hyphae and fungus cultures were positive for colonies of Trichophyton rubrum (T. ruburum). The result of DNA sequencing from the colony was identical to that of T. rubrum. The lesionswere treated by oral terbinafine and topical isoconazole.
Abstract
Tinea incognito is a dermatophytosis modified by previous treatments such as prolonged use ofcorticosteroids. Because the lesions often atypical appearing without classic features of ringworm, thediagnosis can be delayed or missed especially when tinea incognito is on the face and neck. A 75-yearoldmale patient who had been treated with topical steroids at the local dermatologic clinic for 10 yearsfor the eczematous lesion on the scalp and face and recently the lesions spread throughout his neck andback. Physical examination showed ill-defined erythematous scaly patches on the face, neck and backand reddish crusted papules on the scalp. Potassium hydroxide (KOH) preparation on the left face andright neck showed hyphae and fungus cultures were positive for colonies of Trichophyton rubrum (T. ruburum). The result of DNA sequencing from the colony was identical to that of T. rubrum. The lesionswere treated by oral terbinafine and topical isoconazole.
참고문헌 (19)
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