Wang Zhensheng, Zhang Yongfeng, Ma Weiyuan
Department of Pediatrics, Affiliated Hospital of Weifang Medical University, Weifang, People's Republic of China.
Department of Dermatology, Affiliated Hospital of Weifang Medical University, Weifang, People's Republic of China.
Clin Cosmet Investig Dermatol. 2023 Jan 25;16:231-236. doi: 10.2147/CCID.S396802. eCollection 2023.
Chronic mucocutaneous candidiasis (CMC) is a rare infectious skin disease. This study reported a case of CMC in a child with clinical manifestations of oral mucosal leukoplakia and erythema and crust-like thick scabs on the skin of the face and upper limbs. Microscopic fungal examination revealed a large amount of pseudohyphae, and the fungal culture indicated . A drug sensitivity test indicated that it was sensitive to itraconazole and nystatin. Laboratory tests did not show significant immunodeficiency or endocrine abnormalities, and gene sequencing did not identify DNA gene mutations in the coiled-coil domain (CCD) or the DNA-binding domain (DBD) of signal transducer and activator of transcription 1 (STAT1). The skin lesions subsided after oral administration of itraconazole but relapsed 6 months later, and hypoparathyroidism occurred 1 year later. Patients with repeated superficial fungal infection should be alert to the possibility of CMC. CMC has numerous complications and a poor prognosis that requires the attention of clinicians. In this case, STAT1 mutation was not found, and parathyroid dysfunction was rare, providing reference for clinical diagnosis and treatment of CMC.
慢性黏膜皮肤念珠菌病(CMC)是一种罕见的感染性皮肤病。本研究报告了1例患有CMC的儿童病例,其临床表现为口腔黏膜白斑、红斑以及面部和上肢皮肤出现痂样厚痂。显微镜下真菌检查发现大量假菌丝,真菌培养显示……药敏试验表明其对伊曲康唑和制霉菌素敏感。实验室检查未显示明显的免疫缺陷或内分泌异常,基因测序未发现信号转导和转录激活因子1(STAT1)的卷曲螺旋结构域(CCD)或DNA结合结构域(DBD)存在DNA基因突变。口服伊曲康唑后皮肤病变消退,但6个月后复发,1年后发生甲状旁腺功能减退。反复发生浅表真菌感染的患者应警惕CMC的可能性。CMC有众多并发症且预后较差,需要临床医生关注。在该病例中,未发现STAT1突变,甲状旁腺功能障碍罕见,为CMC的临床诊断和治疗提供了参考。
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