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Unusual Presentation of Subcutaneous Phaeohyphomycosis by Alternaria alternate

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초록

The Alternaria species are dematiaceous fungi. Human infection due to dematiaceous fungi is uncommon. Most reported cases of alternariosis have occurred in patients with immunodeficiency. The majority of cases were solid-organ transplantation recipients. Cutaneous alternariosis lesions are usually asymptomatic solitary nodules, plaques of ulcers or subcutaneous cysts. Here we report a case of a 77-year-old female who presented with hemorrhagic skin necrosis in right arm that had developed from hemorrhagic bullae. Her prior medical history included iatrogenic Cushing’s syndrome, hypertension, interstitial lung disease and congestive heart failure. Following administration of itraconazole, her lesions improved

Abstract

The Alternaria species are dematiaceous fungi. Human infection due to dematiaceous fungi is uncommon. Most reported cases of alternariosis have occurred in patients with immunodeficiency. The majority of cases were solid-organ transplantation recipients. Cutaneous alternariosis lesions are usually asymptomatic solitary nodules, plaques of ulcers or subcutaneous cysts. Here we report a case of a 77-year-old female who presented with hemorrhagic skin necrosis in right arm that had developed from hemorrhagic bullae. Her prior medical history included iatrogenic Cushing’s syndrome, hypertension, interstitial lung disease and congestive heart failure. Following administration of itraconazole, her lesions improved

참고문헌 (16)

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  13. Hsu CC, "Cutaneous alternariosis in a renal transplant recipient : a case report and literature review", Asian J Surg, 38, pp.47~57 (2015)
  14. 송승현, "Alternaria alternata 피부 감염 1예", 대한의진균학회지, 19(3), pp.76~81 (2014), 대한의진균학회[DOI]
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