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一例因外用类固醇诱发断发毛癣菌所致的假叠瓦癣病例。

A Case of Tinea Pseudoimbricata Due to Trichophyton tonsurans Induced by Topical Steroid Application.

作者信息

Suzuki Tomohiro, Sato Tomotaka, Horikawa Hiroto, Kasuya Akiko, Yaguchi Takashi

机构信息

Department of Dermatology, Teikyo University Chiba Medical Center.

Office of Clinical Laboratory Technology, Keio University Hospital.

出版信息

Med Mycol J. 2021;62(4):67-70. doi: 10.3314/mmj.20-00019.

Abstract

Tinea imbricata and tinea pseudoimbricata are variant types of tinea corporis characterized by annual-ring-shaped erythema. Although the skin lesions manifest similar symptoms, these two diseases are classified based on causative fungi. The former is caused by Trichophyton concentricum, an anthropophilic dermatophyte, and the latter is caused by dermatophytes other than T. concentricum, commonly zoophilic fungi such as Trichophyton mentagrophytes complex. Here, we report a 27-year-old Japanese male diagnosed with tinea pseudoimbricata attributed to Trichophyton tonsurans, an anthropophilic dermatophyte. We suspected that application of steroid ointment caused the annular pattern of his skin lesions. After three months use of topical luliconazole cream, treatment was finished. We also summarize the knowledge about tinea pseudoimbricata through previous reports with bibliographical consideration.

摘要

叠瓦癣和假叠瓦癣是体癣的变异类型,其特征为环状红斑。虽然皮肤损害表现出相似的症状,但这两种疾病是根据致病真菌进行分类的。前者由亲人性皮肤癣菌同心性毛癣菌引起,后者由除同心性毛癣菌之外的皮肤癣菌引起,常见的是亲动物性真菌,如须癣毛癣菌复合群。在此,我们报告一名27岁的日本男性,被诊断为假叠瓦癣,病因是亲人性皮肤癣菌断发毛癣菌。我们怀疑类固醇软膏的使用导致了他皮肤损害的环状形态。在使用外用卢立康唑乳膏三个月后,治疗结束。我们还通过对既往报告的文献回顾总结了有关假叠瓦癣的知识。

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