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固定型皮肤孢子丝菌病的皮肤镜检查及随访至治愈:一例报告

Dermoscopy of Fixed Cutaneous Sporotrichosis With a Follow-Up Till Cure: A Case Report.

作者信息

Kothari Rohit, Varghese Jeenu, Bhatnagar Anuj, Kishore Karthi, Kumar Rahul

机构信息

Dermatology, Command Hospital Air Force, Bangalore, IND.

Pathology, Command Hospital Air Force, Bangalore, IND.

出版信息

Cureus. 2024 Mar 11;16(3):e55960. doi: 10.7759/cureus.55960. eCollection 2024 Mar.

DOI:10.7759/cureus.55960
PMID:38601413
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11006001/
Abstract

Fixed cutaneous sporotrichosis (FCS) is a rare and chronic infection. Its diagnosis requires a high degree of suspicion. The data on its dermoscopy and follow-up is limited in the literature. We herein report one such case with a follow-up till cure along with its dermoscopy to establish certain specific features that may be used to ascertain the response to treatment for this chronic infection and its prognosis. We found only three such cases following an extensive review of the literature, and this case emphasizes the importance of dermoscopy in recent times as the history, swab cultures, and smears may be misleading at times due to the chronic and long-standing nature of the condition.

摘要

固定型皮肤孢子丝菌病(FCS)是一种罕见的慢性感染。其诊断需要高度怀疑。关于其皮肤镜检查和随访的数据在文献中有限。我们在此报告这样一例病例,包括直至治愈的随访情况及其皮肤镜检查结果,以确定某些特定特征,这些特征可用于确定这种慢性感染的治疗反应及其预后。在广泛查阅文献后,我们仅发现三例此类病例,该病例强调了近期皮肤镜检查的重要性,因为由于该病的慢性和长期性,病史、拭子培养和涂片有时可能会产生误导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b3a/11006001/eb9587cbf3e2/cureus-0016-00000055960-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b3a/11006001/453db8fbb3e5/cureus-0016-00000055960-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b3a/11006001/6a4546aa7c8f/cureus-0016-00000055960-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b3a/11006001/eb9587cbf3e2/cureus-0016-00000055960-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b3a/11006001/453db8fbb3e5/cureus-0016-00000055960-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b3a/11006001/6a4546aa7c8f/cureus-0016-00000055960-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b3a/11006001/eb9587cbf3e2/cureus-0016-00000055960-i03.jpg

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本文引用的文献

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Human sporotrichosis: recommendations from the Brazilian Society of Dermatology for the clinical, diagnostic and therapeutic management.人皮肤利什曼病:巴西皮肤科学会关于临床、诊断和治疗管理的建议。
An Bras Dermatol. 2022 Nov-Dec;97(6):757-777. doi: 10.1016/j.abd.2022.07.001. Epub 2022 Sep 22.
2
Dermatoscopic features of cutaneous sporotrichosis.皮肤孢子丝菌病的皮肤镜特征。
J Eur Acad Dermatol Venereol. 2020 Nov;34(11):e718-e720. doi: 10.1111/jdv.16539. Epub 2020 May 28.
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Cutaneous sporotrichosis: unusual clinical presentations.
皮肤孢子丝菌病:不常见的临床表现。
Indian J Dermatol Venereol Leprol. 2010 May-Jun;76(3):276-80. doi: 10.4103/0378-6323.62974.
4
Practice guidelines for the management of patients with sporotrichosis. For the Mycoses Study Group. Infectious Diseases Society of America.孢子丝菌病患者管理实践指南。供真菌病研究组。美国传染病学会。
Clin Infect Dis. 2000 Apr;30(4):684-7. doi: 10.1086/313751. Epub 2000 Apr 20.