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隐匿性皮肤癣菌病伪装成皮肤T细胞淋巴瘤

Dermatophytosis Incognito Mimicking Cutaneous T-Cell Lymphoma.

作者信息

Babakoohi Shahab, McCall Chad M

机构信息

Oncologic Dermatology, Atrium Health Wake Forest Baptist Medical Center, Charlotte, USA.

Pathology, Carolinas Pathology Group, Charlotte, USA.

出版信息

Cureus. 2022 Jun 10;14(6):e25809. doi: 10.7759/cureus.25809. eCollection 2022 Jun.

Abstract

Dermatophytosis incognito can be missed in diagnosis, given its relatively low prevalence as compared with common cases of dermatophytosis and therefore, is likely under-reported. Cutaneous T-cell lymphoma (CTCL) is also a rare entity with variable clinical manifestations. While successful treatment of dermatophytosis is feasible withmultiple topical and systemic antifungal options, CTCL can present a therapeutic challenge associated with significant emotional distress for the patients. We present a case of tinea incognito initially treated for eczema, later considered biopsy-supported CTCL that was successfully treated with antifungal therapy.

摘要

隐匿型皮肤癣菌病在诊断中可能会被漏诊,因为与常见的皮肤癣菌病病例相比,其发病率相对较低,因此很可能报告不足。皮肤T细胞淋巴瘤(CTCL)也是一种罕见的疾病,临床表现多样。虽然多种局部和全身抗真菌治疗方案可以成功治疗皮肤癣菌病,但CTCL可能带来治疗挑战,并给患者带来巨大的情绪困扰。我们报告一例最初被诊断为湿疹进行治疗,后来考虑为活检支持的CTCL并最终通过抗真菌治疗成功治愈的隐匿型体癣病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da2f/9271217/d8f3e15d9b22/cureus-0014-00000025809-i01.jpg

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