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논문KCI 등재

한 가족에서 발생한 만성 점막피부칸디다증

Familial Chronic Mucocutaneous Candidiasis

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초록

Chronic mucocutaneous candidiasis (CMCC) is a complex group of disorder characterized by chronic and recurrent candida infections of the skin, nail and oropharynx. The classification of CMCC varies but is commonly based on the clinical feature, existence of an endocrinopathy, and the pattern of inheritance, which can be either autosomal dominant or recessive. We herein report a rare case of familial CMCC. A family of a 42-year-old woman and her 17- and 12-year-old daughters commonly presented with a recurrent whitish plaque in the oral cavity for several years, and the mother and her 9-year-old son also had presented with dystrophic nails. They had no evidence of concomitant immunodeficiency or endocrinopathy. Candida albicans was commonly isolated from the oral lesion of the mother and two daughters. They were successfully managed with intermittent oral antifungal treatment.

Abstract

Chronic mucocutaneous candidiasis (CMCC) is a complex group of disorder characterized by chronic and recurrent candida infections of the skin, nail and oropharynx. The classification of CMCC varies but is commonly based on the clinical feature, existence of an endocrinopathy, and the pattern of inheritance, which can be either autosomal dominant or recessive. We herein report a rare case of familial CMCC. A family of a 42-year-old woman and her 17- and 12-year-old daughters commonly presented with a recurrent whitish plaque in the oral cavity for several years, and the mother and her 9-year-old son also had presented with dystrophic nails. They had no evidence of concomitant immunodeficiency or endocrinopathy. Candida albicans was commonly isolated from the oral lesion of the mother and two daughters. They were successfully managed with intermittent oral antifungal treatment.

참고문헌 (13)

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  4. Kim MN, "Chronic mucocutaneous candidiasis", Korean J Dermatol, 24, pp.697~706 (1986)
  5. Kim DW, "A case of chronic mucocutaneous candidiasis associated with hypoparathyroidism", Korean J Dermatol, 31, pp.755~759 (1993)
  6. Lee HK, "A case of chronic mucocutaneous candidiasis", Ann Dermatol, 7, pp.62~65 (1995)
  7. Kirkpatrick CH., "Chronic mucocutaneous candidiasis", Pediatr Infect Dis J, 20, pp.197~206 (2001)
  8. Eyerich K, "Altered, but not diminished specific T cell response in chronic mucocutaneous candidiasis patients", Acrh Dermatol Res, 299, pp.475~481 (2007)
  9. Atkinson TP, "An immune defect causing dominant chronic mucocutaneous candidiasis and thyroid disease maps to chromosome 2p in a single family", Am J Hum Genet, 69, pp.791~803 (2001)
  10. Zuccarello D, "Familial chronic nail candidiasis with ICAM-1 deficiency: a new form of chronic mucocutaneous candidiasis", J Med Genet, 39, pp.671~675 (2002)
  11. Mangino M, "A gene for familial isolated chronic nail candidiasis maps to chromosome 11p12-q12.1", Eur J Hum Genet, 11, pp.433~436 (2003)
  12. Elahi S, "A therapeutic vaccine for mucosal candidiasis", Vaccine, 19, pp.2516~2521 (2001)
  13. Abinun M, "Clinical and immunological response to IFN-γ treatment in a patient with chronic mucocutaneous candidiasis in: Progress in immune deficiency V", pp.255~256 (1995), Springer Iberica

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