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아토피 피부염 환자에서 0.03% Tacrolimus (Protopic®) 연고 도포 후 발생한 잠행 백선

Tinea Incognito Caused by Application of 0.03% Tacrolimus (Protopic®)Ointment in Atopic Dermatitis Patient

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초록

We report a case of tinea incognito in a 29-year-old man after applying the 0.03% tacrolimus ointment. He was known atopic dermatitis patient and has been treated with intermittent application of tacrolimus. For his facial pruritus 0.03% tacrolimus ointment was prescribed, and after one week he developed annularly grouped erythematous plaques and patches around the ointment-applied area. The KOH smear revealed multiple fungal hyphae. Dermatologists should be aware of the possibility of topical tacrolimus to be the causative agent for tinea incognito.

Abstract

We report a case of tinea incognito in a 29-year-old man after applying the 0.03% tacrolimus ointment. He was known atopic dermatitis patient and has been treated with intermittent application of tacrolimus. For his facial pruritus 0.03% tacrolimus ointment was prescribed, and after one week he developed annularly grouped erythematous plaques and patches around the ointment-applied area. The KOH smear revealed multiple fungal hyphae. Dermatologists should be aware of the possibility of topical tacrolimus to be the causative agent for tinea incognito.

참고문헌 (6)

  1. 황성민, "다리에 발생한 습진모양 잠행백선", 대한의진균학회지, 16(2), pp.51~55 (2011), 대한의진균학회1
  2. 이종선, "항진균제 치료와 관련하여 임상 양상의 변화를 보인 잠행 백선", 대한의진균학회지, 16(3), pp.118~123 (2011), 대한의진균학회1
  3. Arenas R, "Tinea incognito", Clin Dermatol, 28, pp.137~139 (2010)
  4. 최윤림, "1% Pimecrolimus (Elidel?) 크림 국소 도포 후 발생한 잠행 백선 1예", 대한피부과학회지, 44(6), pp.731~733 (2006), 대한피부과학회
  5. Kang HY, "A Case of Tinea Incognito on the Face due to Trichophyton mentagrophytes", Korean J Dermatol, 38, pp.1124~1126 (2000)
  6. Yang CW, "A Case of Tinea Incognito", Korean J Dermatol, 27, pp.79~82 (1989)

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