长期误诊的颈部难辨认癣1例

中国真菌学杂志　 2019, Vol. 14 　Issue (1): 45-46.

长期误诊的颈部难辨认癣1例

邵霞¹, 乔建军^1,2

1. 宁波市北仑区人民医院皮肤科, 宁波 315806;
2. 浙江大学医学院附属第一医院皮肤科, 杭州 310003

收稿日期:2018-05-09 出版日期:2019-02-28 发布日期:2019-02-28
通讯作者: 乔建军,E-mail:qiaojianjun@zju.edu.cn E-mail:qiaojianjun@zju.edu.cn
作者简介:邵霞,女(汉族),硕士,主治医师.E-mail:shaoxia4545@163.com
基金资助:
国家自然科学基金（81571969）

Tinea incognito on the neck with long-term misdiagnosis

ShaoXia¹, QiaoJian-jun^1,2

1. Department of Dermatology, Beilun District People's Hospital, Ningbo 315806, China;
2. Department of Dermatology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China

Received:2018-05-09 Online:2019-02-28 Published:2019-02-28

摘要/Abstract

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。

关键词: 难辨认癣, 体癣, 误诊

Abstract:

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.

Key words: Tinea incognito, dermatophyte infection, misdiagnosis

中图分类号:

R756.2

邵霞, 乔建军. 长期误诊的颈部难辨认癣1例[J]. 中国真菌学杂志, 2019, 14(1): 45-46.

ShaoXia, QiaoJian-jun. Tinea incognito on the neck with long-term misdiagnosis[J]. Chinese Journal of Mycology, 2019, 14(1): 45-46.

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