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石膏样奈瑟菌引起的溃疡性单侧手癣

Ulcerative Unilateral Tinea Manuum Caused by Nannizzia gypsea.

作者信息

Martínez-Ortega Jesús Iván, Fernández-Reyna Ilse, Ramirez Cibrian Arely Gissell, Atoche Dieguez Carlos Enrique

机构信息

Dermatology, Instituto Dermatológico de Jalisco, Zapopan, MEX.

Mycology, Centro Dermatológico de Yucatan, Mérida, MEX.

出版信息

Cureus. 2024 Mar 5;16(3):e55576. doi: 10.7759/cureus.55576. eCollection 2024 Mar.

Abstract

Dermatophytes, fungi specialized in keratin degradation, are key agents in skin infections, commonly referred to as tineas. Tinea manuum, affecting the hands, typically presents in noninflammatory or inflammatory forms, with ulcerative manifestations rarely reported. , a relatively uncommon cause of tineas, exhibits variable prevalence influenced by geographic factors. This study investigates a case of Ulcerative Unilateral Tinea Manuum caused by , aiming to explore the differential diagnosis, pathogenesis, and management. A 23-year-old female from the Yucatan Peninsula presented with an ulcerated lesion on her left hand. Initially suspected as Leishmaniasis, subsequent examination revealed tinea manuum. The study discusses differential diagnoses, highlighting the rarity of ulcerative presentations in dermatophytosis, and explores potential pathogenic mechanisms. This case underscores the importance of considering dermatophytes in ulcerative skin lesions and suggests a comprehensive diagnostic approach, particularly in endemic regions.

摘要

皮肤癣菌是专门降解角蛋白的真菌,是皮肤感染的关键病原体,通常称为癣。手部癣(手癣)影响手部,通常表现为非炎症性或炎症性形式,很少有溃疡性表现的报道。[具体真菌名称未给出]是癣相对不常见的病因,其患病率受地理因素影响而有所不同。本研究调查了一例由[具体真菌名称未给出]引起的溃疡性单侧手癣病例,旨在探讨其鉴别诊断、发病机制和治疗方法。一名来自尤卡坦半岛的23岁女性左手出现溃疡性病变。最初怀疑为利什曼病,随后检查发现是手癣。该研究讨论了鉴别诊断,强调了皮肤癣菌病中溃疡性表现的罕见性,并探讨了潜在的致病机制。该病例强调了在溃疡性皮肤病变中考虑皮肤癣菌的重要性,并提出了全面的诊断方法,特别是在流行地区。

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