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猫的诅咒:一例误诊的脓癣病例。

Cat's Curse: A Case of Misdiagnosed Kerion.

作者信息

Mazlim Mb, Muthupalaniappen L

出版信息

Malays Fam Physician. 2012 Aug 31;7(2-3):35-8. eCollection 2012.

Abstract

Kerion is an inflammatory type of tinea capitis which can be mistaken for bacterial infection or folliculitis as both conditions display similar clinical features. It occurs most frequently in prepubescent children and rarely in adults. We report a 26-year-old woman who presented with multiple tender inflammed nodules on her scalp. Her condition was misdiagnosed as bacterial abscess and treated with multiple courses of antibiotics without improvement. Later, her condition was re-diagnosed as kerion based on clinical appearance, history of contact with infected animal and Wood's lamp examination. symptoms and lesions resolved completely with systemic antifungal treatment leaving residual scarring alopecia. The delay in the diagnosis and treatment of this patient resulted in permanent scarring alopecia.

摘要

脓癣是头癣的一种炎症类型,因其临床表现与细菌感染或毛囊炎相似,故容易误诊。脓癣最常发生于青春期前儿童,成年人中则较为少见。我们报告了一位26岁女性,其头皮出现多个压痛性炎性结节。她的病情最初被误诊为细菌性脓肿,并接受了多疗程抗生素治疗,但病情并无改善。随后,根据临床表现、与感染动物接触史及伍德灯检查,重新诊断为脓癣。经全身抗真菌治疗后,症状和皮损完全消退,仅遗留瘢痕性脱发。该患者诊断和治疗的延误导致了永久性瘢痕性脱发。

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