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由指间毛癣菌引起的右侧眉部面癣。

Tinea faciei on the right eyebrow caused by Trichophyton interdigitale.

作者信息

Zhuang Kai Wen, Dai Ya Ling, Ran Yu Ping, Lama Jebina, Fan Yi Ming

机构信息

West China Hospital, Sichuan University - Sichuan, China.

Affiliated Hospital of Guangdong Medical University - Zhanjiang, China.

出版信息

An Bras Dermatol. 2016 Nov-Dec;91(6):829-831. doi: 10.1590/abd1806-4841.20165270.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c66b/5193201/bf8f9f75935b/abd-91-06-0829-g01.jpg

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