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年轻男性的拔毛癖，合并由Laurentii 假丝酵母菌和近平滑假丝酵母菌引起的头癣。

Trichotillomania in a young male complicated by tinea capitis associated with Cryptococcus laurentii and Candida parapsilosis.

机构信息

Department of Dermatology, New York Medical College, New York, NY, USA.

出版信息

Clin Cosmet Investig Dermatol. 2013;6:71-3. doi: 10.2147/CCID.S43047. Epub 2013 Mar 3.

DOI:10.2147/CCID.S43047
PMID:23525604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3595977/
Abstract

This is the first case report of tinea capitis associated with Cryptococcus laurentii as well as Candida parapsilosis in an eleven year old male which responded to treatments with griseofulvin, lamisil, as well as fluconazole only to show recurrent alopecia from an underlying problem of trichotillomania. When confronted with the biopsy diagnosis of trichotillomania, the family admitted knowledge of the hair pulling disorder for at least five years. It took three providers to finally solve the question of the recalcitrant alopecia.

摘要

这是一例 11 岁男性头癣合并感染罗伦隐球菌和近平滑假丝酵母菌的病例报告，该患者曾先后接受灰黄霉素、特比萘芬和氟康唑治疗，但由于存在潜在的拔毛癖问题，导致疾病反复发作，出现脱发。当面对拔毛癖的组织学诊断时，该患者的家属承认至少 5 年来患者一直存在拔毛行为。经过三位医生的诊治，最终解决了这位患者顽固脱发的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ff/3595977/494cc679a2a6/ccid-6-071f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ff/3595977/ed23c6db18d8/ccid-6-071f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ff/3595977/0ba3f3f6604e/ccid-6-071f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ff/3595977/f4ccbf17eef0/ccid-6-071f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ff/3595977/494cc679a2a6/ccid-6-071f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ff/3595977/ed23c6db18d8/ccid-6-071f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ff/3595977/0ba3f3f6604e/ccid-6-071f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ff/3595977/f4ccbf17eef0/ccid-6-071f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ff/3595977/494cc679a2a6/ccid-6-071f4.jpg

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本文引用的文献

1
Cryptococcus laurentii fungemia in a premature neonate.一名早产儿发生罗伦隐球菌菌血症。
J Clin Microbiol. 2001 Apr;39(4):1608-11. doi: 10.1128/JCM.39.4.1608-1611.2001.
2
Fungaemia due to Cryptococcus laurentii and a review of non-neoformans cryptococcaemia.劳伦隐球菌所致真菌血症及非新生隐球菌血症综述
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美国太平洋西北地区苹果果实上细菌和酵母菌落的计数以及梨果实上附生酵母菌的鉴定。
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An unusual case of cryptococcal endophthalmitis.一例罕见的隐球菌性眼内炎病例。
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Special features of the clinical use of oral terbinafine in the treatment of fungal diseases.口服特比萘芬治疗真菌病临床应用的特点
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