Brody H J, Castrow F F
Cutis. 1976 May;17(5):913-5.
The case of a 34-year-old white woman with tinea facialis that persisted for nine months prior to diagnosis is presented. The confluent plaquelike erythematous eruption of the face with eyelid lichenification that flared outdoors was thought to represent polymorphic light eruption and was refractory to antibiotics, corticosteroids (topical and systemic), and antimalarials. A KOH preparation was positive when the dermatosis spilled onto the mandibular region, and restaining of the initial skin biopsy revealed fungal hyphae. Complete resolution was accomplished with griseofulvin and MicTin. Tinea cab be added to the list of infectious agents that have a photosensitivity component. The fungus possibly "photolocalizes" to sun-damaged areas, ie, areas of increased capillary permeability. This case illustrates the importance of including tinea in considering diagnoses of sun-exposed lesions of the face.
本文介绍了一名34岁白人女性的病例，其面部癣在诊断前持续了9个月。面部出现融合性斑块状红斑疹，伴有眼睑苔藓化，在户外时皮疹加重，曾被认为是多形性日光疹，对抗生素、皮质类固醇（局部和全身用药）及抗疟药均无效。当皮疹蔓延至下颌区域时，氢氧化钾制剂检查呈阳性，对最初的皮肤活检标本重新染色后发现了真菌菌丝。使用灰黄霉素和米康唑后皮疹完全消退。癣可被列入具有光敏成分的感染因子名单。该真菌可能“光定位”于阳光损伤区域，即毛细血管通透性增加的区域。此病例说明了在考虑面部暴露于阳光下病变的诊断时纳入癣的重要性。
