Botelho Karine Paschoal, Soares Yuri Coelho, Gonçalves Deborah Pereira, Melo Bárbara Lima Araújo
Outpatient Department of General Dermatology, Centro de Dermatologia Dona Libânia - Fortaleza (CE), Brazil.
Department of Rheumatology, Hospital Universitário Walter Cantídio - Universidade Federal do Ceará (HUWC-UFC) - Fortaleza (CE), Brazil.
An Bras Dermatol. 2018 Jan-Feb;93(1):141-142. doi: 10.1590/abd1806-4841.20187094.
Dermatophytes are fungi capable of invading keratinized tissues. Isolation of the fungus with the culture is essential to guide the treatment, because there are more resistant species like Microsporum canis. The chronic use of corticosteroids leads to the deregulation of immunity, promoting atypical manifestations of infections. Topical antifungal therapy is often insufficient, requiring systemic medications. We describe the case of a patient undergoing systemic corticosteroid therapy with a large figurate lesion who presented complete response to exclusively topical treatment.
皮肤癣菌是能够侵犯角化组织的真菌。通过培养分离真菌对于指导治疗至关重要，因为存在像犬小孢子菌这样更具耐药性的菌种。长期使用皮质类固醇会导致免疫失调，促进感染的非典型表现。局部抗真菌治疗往往不足，需要全身用药。我们描述了一例接受全身皮质类固醇治疗且有大片地图状损害的患者，该患者仅接受局部治疗就获得了完全缓解。
