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中国真菌学杂志 2012, Vol. 7  Issue (3): 166-167.

病例报告 上一篇    下一篇

面癣误诊1例

唐黎, 王宏伟   

  1. 上海市皮肤病医院,上海 200050
  • 收稿日期:2011-11-08 出版日期:2012-06-28 发布日期:2012-06-28
  • 通讯作者: 王宏伟,E-mail:hongweiwang2005@yahoo.com.cn E-mail:hongweiwang2005@yahoo.com.cn
  • 作者简介:唐黎,女 (汉族),硕士.E-mail:tangli6789@yahoo.cn

Tinea faciei misdiagnosed as other dermatoses:a case report

TANG Li, WANG Hong-wei   

  1. Shanghai Skin Disease Hospital,shanghai 200050
  • Received:2011-11-08 Online:2012-06-28 Published:2012-06-28

摘要: 报道由须癣毛癣菌感染引起并被长期误诊的面癣1例。患者女,37岁,因"面部反复红斑、丘疹、水疱伴瘙痒半年"就诊。多次被误诊为单纯疱疹、脓疱疮、湿疹、皮肤感染、脂溢性皮炎及玫瑰痤疮等,先后应用抗病毒、抗感染和抗过敏治疗,皮损未能完全消退并逐渐扩大。再次就诊,真菌学直接镜检阳性,真菌培养为须癣毛癣菌。给予口服特比萘芬片、外用联苯苄唑乳膏治疗后痊愈。

关键词: 须癣毛癣菌, 面癣, 误诊

Abstract: To report a case of tinea faciei caused by Trichophyton mentagrophytes which had been misdiagnosed for a long time. A 37-year-old female presented recurrent erythema, papule and blister on her face, accompanying with itching. She was misdiagnosed as Herpes simplex, Impetigo, Eczema, Skin infection, Seborrheic dermatitis and Acne rosacea, and successively treated with anti-viral, anti-bacterial and antianaphylaxis drugs. The lesion didn't resolve, but gradually expanded. After fungal examination, she was diagnosed as tinea faciei caused by Trichophyton mentagrophytes. The patient was cured by oral terbinafine combined with bifonazole cream.

Key words: Trichophyton mentagrophytes, tinea faciei, misdiagnosis

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