Mohamad Noraini, Badrin Salziyan, Wan Abdullah Wan Noor Hasbee
School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia.
Department of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia.
Korean J Fam Med. 2018 Mar;39(2):126-129. doi: 10.4082/kjfm.2018.39.2.126. Epub 2018 Mar 22.
Fixed cutaneous sporotrichosis is a differential diagnosis that can be considered in diabetic patients who present with a poorly healing ulcer. Although its prevalence is low, it can occur in patients with immunocompromised status. Here we report a case of a 70-year-old man with diabetes mellitus who presented with a 1-month history of an unhealed ulcer over the tip of his left middle finger. He experienced a cat bite over his left middle finger 1 month prior to the appearance of the lesion. A skin biopsy revealed the presence of . Oral itraconazole 200 mg twice daily was started empirically and the patient showed marked improvement in the skin lesion after 2 months of therapy.
固定型皮肤孢子丝菌病是一种鉴别诊断，可在患有愈合不良溃疡的糖尿病患者中考虑。虽然其患病率较低，但可发生于免疫功能低下的患者。在此，我们报告一例70岁男性糖尿病患者，其左手中指指尖有一个1个月未愈合的溃疡。在病变出现前1个月，他的左手中指被猫咬伤。皮肤活检显示存在……。经验性地开始口服伊曲康唑200毫克，每日两次，治疗2个月后患者的皮肤病变有明显改善。
