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体癣相关红皮病:病例报告及慢性皮肤癣菌感染所致红皮病患者的综述

Tinea Corporis-associated Erythroderma: Case Report and Review of Erythrodermic Patients with Chronic Dermatophyte Infection.

作者信息

Yousefian Faraz, Crowley Christopher, Skupsky Hadas, Calame Antoanella, Cohen Philip R

机构信息

Osteopathic Medicine, University of the Incarnate Word School of Osteopathic Medicine, San Antonio, USA.

Dermatology, San Diego Family Dermatology, National City, USA.

出版信息

Cureus. 2020 Apr 7;12(4):e7578. doi: 10.7759/cureus.7578.

Abstract

Erythroderma presents as generalized skin redness. The features of a 39-year-old man who presented with erythroderma are described. His skin biopsy revealed hyphae in the stratum corneum, which established the diagnosis of tinea corporis. His erythroderma resolved following treatment with an oral antifungal agent. Several conditions can be associated with erythroderma. Common etiologies for erythroderma include medications, neoplasms, and papulosquamous disorders. Superficial dermatophyte-associated erythroderma is rare. However, although erythroderma caused by generalized superficial mycosis is infrequently encountered, tinea corporis should be included in the new-onset or chronic erythroderma. The detection of fungal hyphae in the stratum corneum of a biopsy of the erythrodermic skin can not only establish dermatophyte infection as the underlying cause of the individual's erythroderma but also an alternative cause of erythroderma.

摘要

红皮病表现为全身性皮肤发红。本文描述了一名39岁患红皮病男性的特征。他的皮肤活检显示角质层中有菌丝,从而确诊为体癣。口服抗真菌药物治疗后,他的红皮病得到缓解。几种情况可能与红皮病相关。红皮病的常见病因包括药物、肿瘤和丘疹鳞屑性疾病。浅表皮肤癣菌相关的红皮病很少见。然而,尽管由全身性浅表真菌病引起的红皮病很少见,但新发或慢性红皮病都应考虑体癣。在红皮病皮肤活检的角质层中检测到真菌菌丝,不仅可以确定皮肤癣菌感染是个体红皮病的潜在原因,也是红皮病的另一种病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdd/7205383/722695a69bb3/cureus-0012-00000007578-i01.jpg

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