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待诊断病例。糖尿病患者的溃疡性和丘疹性损害。原藻病。

Case for diagnosis. Ulcer and papular lesions in a patient with diabetes mellitus. Protothecosis.

机构信息

Fundação de Dermatologia Tropical e Venereologia Alfredo da Matta, Manaus, AM, Brazil.

Fundação de Dermatologia Tropical e Venereologia Alfredo da Matta, Manaus, AM, Brazil.

出版信息

An Bras Dermatol. 2021 Sep-Oct;96(5):613-616. doi: 10.1016/j.abd.2021.03.004. Epub 2021 Jul 13.

Abstract

Protothecosis is a rare disease caused by achlorophilic algae of the genus Prototheca spp. In general, three clinical forms are observed: cutaneous, articular and systemic. The cutaneous form is the most common one. This study describes a patient with isolated erythematous papules and erythematous papular plaques in the scapular regions, with a previous histopathological diagnosis of cryptococcosis. New tests were conclusive for the diagnosis of protothecosis, caused by Prototheca wickerhamii.

摘要

原壁菌病是由原壁菌属的嗜氯性藻类引起的罕见疾病。一般来说,可观察到三种临床形式:皮肤型、关节型和全身型。皮肤型最为常见。本研究描述了一位肩胛区孤立性红斑丘疹和红斑斑块的患者,此前的组织病理学诊断为隐球菌病。新的检测结果明确诊断为由成团发菌引起的原壁菌病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21d4/8441448/e0c4f3e89afb/gr1.jpg

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