Brenner M, Rosin C, Battegay M, Häusermann P
Dermatologische Klinik, Universitätsspital Basel.
Praxis (Bern 1994). 2011 Dec 14;100(25):1553-6. doi: 10.1024/1661-8157/a000737.
A 65 year old HIV-infected patient (CDC A2, diagnosed in 07/2008) presented with facial, erythematous infiltrated papular lesions. Consistent with progressive immunodeficiency a low CD4+ T-cell count and an increase of the viral load was seen simultaneously and an eosinophilic pustular folliculitis (EPF) was assumed. Though, the lesional biopsy revealed a follicular eosinophilic infiltration and endotrichial hyphae, proving for an infiltrating dermatophytosis. This shows how an infiltrating Tinea faciei is mimicking clinically and histologically an HIV-associated EPF of the face.
一名65岁的HIV感染患者(CDC A2级,2008年7月确诊)出现面部红斑浸润性丘疹病变。鉴于其进行性免疫缺陷,同时发现CD4+ T细胞计数低且病毒载量增加,推测为嗜酸性脓疱性毛囊炎(EPF)。然而,病变活检显示毛囊嗜酸性浸润和毛囊内菌丝,证实为浸润性皮肤癣菌病。这表明浸润性面部癣在临床和组织学上如何模仿与HIV相关的面部EPF。