항진균제 치료와 관련하여 임상 양상의 변화를 보인 잠행 백선
Tinea Incognito with Changes in Clinical Feature Related to Antifungal Treatment
1
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Clinical features of the dermatophyte infections of the glabrous skin can be altered by inappropriate treatment such as topical steroid treatment. We describe a case of dermatophyte infection with changes in clinical feature related to antifungal treatment. A 23-year-old woman presented with reddish annular scaly lesions on her right forearm. On the basis of the detection of hyphae on KOH examination, oral terbinafine 250 mg/day in combination with topical isoconazole was used for 3 weeks, but scattered papulopustules on erythematous bases occurred. Histopathologic examination revealed the presence of hyphae within the follicular infundibulum. Oral itraconazole 100 mg/day was administered for 2 weeks in combination with topical flutrimazole and produced a good clinical response. At her visit about 7weeks after stopping itraconazole, agminated papulopustules on erythematous bases were seen on her right forearm. Trichophyton mentagrophytes was isolated on the culture of skin scraping from the surface of agminated lesions. She was successfully treated with oral fluconazole 150 mg weekly for 6 weeks and topical flutrimazole and isoconazole.
Abstract
Clinical features of the dermatophyte infections of the glabrous skin can be altered by inappropriate treatment such as topical steroid treatment. We describe a case of dermatophyte infection with changes in clinical feature related to antifungal treatment. A 23-year-old woman presented with reddish annular scaly lesions on her right forearm. On the basis of the detection of hyphae on KOH examination, oral terbinafine 250 mg/day in combination with topical isoconazole was used for 3 weeks, but scattered papulopustules on erythematous bases occurred. Histopathologic examination revealed the presence of hyphae within the follicular infundibulum. Oral itraconazole 100 mg/day was administered for 2 weeks in combination with topical flutrimazole and produced a good clinical response. At her visit about 7weeks after stopping itraconazole, agminated papulopustules on erythematous bases were seen on her right forearm. Trichophyton mentagrophytes was isolated on the culture of skin scraping from the surface of agminated lesions. She was successfully treated with oral fluconazole 150 mg weekly for 6 weeks and topical flutrimazole and isoconazole.
참고문헌 (17)
- Roh JY, "Infectious skin diseases, In: KDA textbook editing board, editors. Dermatology. 5th ed", pp.350~351 (2008), Ryo Moon Gak
- Ive FA, "Tinea incognito", Br Med J, 3, pp.149~152 (1968)
- Romano C, "Tinea incognito due to Microsporum gypseum in three children", Pediatr Dermatol, 17, pp.41~44 (2000)
- Romano C, "Tinea incognito in Italy: a 15-year survey", Mycoses, 49, pp.383~387 (2006)
- Siddaiah N, "Tacrolimus-induced tinea incognito", Cutis, 73, pp.237~238 (2004)
- Crawford KM, "-induced tinea incognito", Skinmed, 3, pp.352~353 (2004)
- 최윤림, "1% Pimecrolimus (Elidel？) 크림 국소 도포 후 발생한 잠행 백선 1예", 대한피부과학회지, 44(6), pp.731~733 (2006), 대한피부과학회
- Wacker J, "annular emerging as tinea incognito", Mycoses, 47, pp.447~449 (2004)
- Yang CW, "case of tinea incognito. Korean J Dermatol", 1989, 27, pp.79~82 (1989)
- Kang HY, "A case of tinea incognito on the face due to trichophyton mentagrophytes", Korean J Dermatol, 38, pp.1124~1126 (2000)
- Kim KJ, "A case of tinea incognito presented as folliculitis", Korean J Dermatol, 39, pp.1328~1330 (2001)
- 한태영, "절종증의 임상양상을 보인 잠행 백선 1예", 대한의진균학회지, 13(3), pp.138~141 (2008), 대한의진균학회1
- Eby CS, "Nannizzia incurvata infection of vellus hair", Br J Dermatol, 85, pp.582~584 (1971)
- Gómez-Moyano E, "Tinea of vellus hair: an indication for systemic antifungal therapy", Br J Dermatol, 163, pp.603~606 (2010)
- Kim SW, "Histopathologic study of dermatophytosis", Korean J Dermatol, 33, pp.421~429 (1995)
- Jacobs JA, "Tinea incognito due to Trichophyton rubrum after local steroid therapy", Clin Infect Dis, 33, pp.E142~E144 (2001)
- Guenova E, "Tinea incognito hidden under apparently treatment-resistant pemphigus foliaceus", Acta Derm Venereol, 88, pp.276~277 (2008)