Zhuang Kai Wen, Dai Ya Ling, Ran Yu Ping, Lama Jebina, Fan Yi Ming
West China Hospital, Sichuan University - Sichuan, China.
Affiliated Hospital of Guangdong Medical University - Zhanjiang, China.
An Bras Dermatol. 2016 Nov-Dec;91(6):829-831. doi: 10.1590/abd1806-4841.20165270.
Tinea faciei is a relatively uncommon dermatophyte infection entailing atypical clinical symptoms, usually misdiagnosed and treated with corticosteroids. The authors describe a case of tinea faciei on the right eyebrow caused by Trichophyton interdigitale. The patient was an 18-year-old girl, who had an inflammatory plaque with a scaly, pustular surface on the right eyebrow and upper eyelid, which had persisted for over 1 month. She was once misdiagnosed as having eczema and was treated using corticosteroid cream. A diagnosis of tinea faciei was made based on direct microscopy and culture. The sequencing of the nuclear ribosomal ITS region and β-tubulin gene of the isolate established its T. interdigitale lineage. The patient was cured by treatment with systemic terbinafine in combination with topical application of 1% naftifine-0.25% ketaconazole cream for 2 weeks.
面部癣是一种相对罕见的皮肤癣菌感染,伴有非典型临床症状,通常被误诊并使用皮质类固醇治疗。作者描述了一例由指间毛癣菌引起的右侧眉毛面部癣病例。患者为一名18岁女孩,右侧眉毛和上眼睑有一个炎性斑块,表面有鳞屑和脓疱,持续了1个多月。她曾被误诊为湿疹,并使用皮质类固醇乳膏治疗。根据直接镜检和培养结果诊断为面部癣。对分离株的核糖体ITS区域和β-微管蛋白基因进行测序,确定其为指间毛癣菌谱系。患者通过口服特比萘芬联合外用1%萘替芬-0.25%酮康唑乳膏治疗2周后痊愈。