Tan Cheng, Zhu Wen-Yuan, Min Zhong-Sheng
Mycoses. 2010 Jul;53(4):366-8. doi: 10.1111/j.1439-0507.2009.01721.x. Epub 2009 May 27.
A 31-year-old male patient complained of having follicular and brownish red maculopapules along the Blaschko's lines on the right chest for 2 days. On examination, follicular brownish maculopapules were present on the chest with a uniform size of about 3 mm in diameter. The lesions were isolated without a tendency to merge, giving several S-shaped, band-like appearances. Direct mycological examination of the skin flakes revealed many pseudomycelial hyphae and yeast cells with typical spaghetti and meatball appearance. Wood's light examination of the lesion revealed a golden yellow fluorescence. A diagnosis of blaschkoid pityriasis versicolor was suggested because of blaschkoid distribution of the lesions in this new variant of PV.
一名31岁男性患者主诉右胸部沿Blaschko线出现毛囊性及棕红色斑丘疹2天。检查发现胸部有毛囊性棕色斑丘疹，直径约3mm，大小均匀。皮损孤立，无融合倾向，呈数条S形、带状外观。皮肤鳞屑直接真菌学检查发现许多假菌丝和酵母细胞，呈典型的“意大利面和肉丸”外观。皮损伍德灯检查显示金黄色荧光。由于该PV新变种皮损呈Blaschko线分布，故考虑诊断为线状花斑癣。
