长期误诊的颈部难辨认癣1例
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摘要
患者男,35岁,颈部皮疹伴瘙痒2年,曾多次误诊为皮炎、湿疹、玫瑰糠疹等,给予外用糖皮质激素等治疗效果不佳,皮损面积扩大。查体:颈部见鳞屑性丘疹、斑块和脓疱。刮取鳞屑镜检见大量真菌菌丝,培养后镜下检查见纺锤形大分生孢子,符合犬小孢子菌,诊断为难辨认癣,给予抗真菌治疗后痊愈。
A 35-year-old male presented with rash on the neck with itching for 2 years. He had been diagnosed as dermatitis, eczema, pityriasis rosea, etc.. Topical glucocorticoids were not effective, and the lesion was enlarging. Physical examination revealed scaly papules, plaques and pustules on the neck. Under microscopy, a large number of fungal hyphae were observed by taking scales samples from the lesion. On fungal culture, spindle-shaped macroconidia were detected, which was consistent with Microsporum canis. A diagnosis of tinea incognito was made. It was cured after antifungal therapy.
A 35-year-old male presented with rash on the neck with itching for 2 years. He had been diagnosed as dermatitis, eczema, pityriasis rosea, etc.. Topical glucocorticoids were not effective, and the lesion was enlarging. Physical examination revealed scaly papules, plaques and pustules on the neck. Under microscopy, a large number of fungal hyphae were observed by taking scales samples from the lesion. On fungal culture, spindle-shaped macroconidia were detected, which was consistent with Microsporum canis. A diagnosis of tinea incognito was made. It was cured after antifungal therapy.
引文
[1] Ive FA,Marks R.Tinea incognto[J].Br Med J,1968,3(5611):149-152.
[2] 高宇,钱桂萍.面部难辨认癣38例临床分析[J].中国麻风皮肤病杂志,2017,33(3):172-174.
[3] 冉林卉,火万琴,杜华.颜面部难辨认癣误诊为环状肉芽肿1例[J].中国真菌学杂志,2017,12(4):228-229.
[4] Borges A, Brasileiro A, Galhardas C, et al. Tinea faciei in a central Portuguese hospital: A 9-year survey[J].Mycoses, 2018,61(4):283-285.
[5] 季梅,沈雪花.面癣64例临床分析[J].中国真菌学杂志,2016,11(5):282-284.
[2] 高宇,钱桂萍.面部难辨认癣38例临床分析[J].中国麻风皮肤病杂志,2017,33(3):172-174.
[3] 冉林卉,火万琴,杜华.颜面部难辨认癣误诊为环状肉芽肿1例[J].中国真菌学杂志,2017,12(4):228-229.
[4] Borges A, Brasileiro A, Galhardas C, et al. Tinea faciei in a central Portuguese hospital: A 9-year survey[J].Mycoses, 2018,61(4):283-285.
[5] 季梅,沈雪花.面癣64例临床分析[J].中国真菌学杂志,2016,11(5):282-284.