须癣合并面颈部体癣1例

中国真菌学杂志　 2013, Vol. 8 　Issue (1): 44-46.

须癣合并面颈部体癣1例

王淑芬¹, 吴卫志¹, 赵晓婷¹, 李娜¹, 徐祥虎¹, 于长平¹, 张春梅²

1. 山东省皮肤病性病防治研究所, 济南 250022;
2. 山东医学高等专科学校, 济南 250002

收稿日期:2012-09-27 出版日期:2013-02-28 发布日期:2013-02-28
通讯作者: 于长平,E-mail:yuchangping8912@sina.com E-mail:yuchangping8912@sina.com
作者简介:王淑芬,女(汉族),硕士研究生在读,助理研究员.E-mail:wsf222222@yahoo.com.cn

Tinea barbae and tinea corporis in face and neck caused by Trichophyton mentagrophytes：a case report

WANG Shu-fen¹, WU Wei-zhi¹, ZHAO Xiao-ting¹, LI Na¹, XU Xiang-hu¹, YU Chang-ping¹, ZHANG Chun-mei²

1. Shandong Provincial Institute of Dermatology and Venereology, Jinan 250022;
2. Shandong Medical College, Jinan 250002, China

Received:2012-09-27 Online:2013-02-28 Published:2013-02-28

摘要/Abstract

摘要： 患者男,57岁。面部红斑、丘疹、唇部脓疱灼痛2个月余。曾口服和外用多种中药治疗无效且呈加重趋势。取皮屑、胡须镜检见大量真菌菌丝, 培养见棒状分隔大分生孢子、葡萄串状小分生孢子。尿素酶实验阳性、毛发穿孔实验阳性, 鉴定为须癣毛癣菌。经内服伊曲康唑胶囊和外用盐酸布替萘芬乳膏治疗10 d后病情好转,2个月后皮损消退。复查真菌阴性。

关键词: 须癣, 体癣, 须癣毛癣菌

Abstract: A 57-year-old man had a history of erythema plaque, papules in face and neck, pustules with burning pain on upper-lip for more than 2 months. Treatment with different kinds of traditional Chinese medicine proved no effect. Direct microscopic examination of the NaOH (10%)preparation showed hyphae in the scales and moustache hair. The slide culture showed the clubshaped macroconidia with septate and grape-like crowded microconidia. Both urease test and hair penetration test in vitro were positive. The pathogen was identified as Trichophyton mentagrophytes.The patient was treated with oral itraconazole capsules and topical use of a butenafine hydrochloride gream. The lesion resolved with negative fungal check after continuous treatment for 2 months.

Key words: tinea barbae, tinea corporis, Trichophyton mentagrophytes

中图分类号:

R756.2

王淑芬, 吴卫志, 赵晓婷, 李娜, 徐祥虎, 于长平, 张春梅. 须癣合并面颈部体癣1例[J]. 中国真菌学杂志, 2013, 8(1): 44-46.

WANG Shu-fen, WU Wei-zhi, ZHAO Xiao-ting, LI Na, XU Xiang-hu, YU Chang-ping, ZHANG Chun-mei. Tinea barbae and tinea corporis in face and neck caused by Trichophyton mentagrophytes：a case report[J]. Chinese Journal of Mycology, 2013, 8(1): 44-46.

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