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題名 | 由犬小芽胞癬菌引起的成人男性頭癬--病例報告=Tinea Capitis in a Male Adult Caused by Micropsporum Canis--A Case Report |
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作者 | 鐘文宏; 王俊民; 洪宏翔; Chung, Wen-hung; Wang, Chun-min; Hong, Hong-shang; |
期刊 | 中華皮膚科醫學雜誌 |
出版日期 | 20020600 |
卷期 | 20:2 2002.06[民91.06] |
頁次 | 頁105-109 |
分類號 | 415.73 |
語文 | chi |
關鍵詞 | 犬小芽胞癬菌; 成人頭癬; Tinea capitis; Male adult; Microsporum canis; |
中文摘要 | 我們報告一例七十歲的老年男性,頭部患有廣泛沒有脫屑的紅疹及膿勺,並延伸至上臉及耳部。頭皮病理切片檢查發現頭髮毛囊有很多的黴菌孢子,以及化膿性肉芽組織發炎反應。黴菌培養證實是犬小芽胞癬菌的感染。由於病人長期錯誤使用局部類固醇治療,使得皮膚病灶變的嚴重而怪異。根據文獻統計,成人頭癬是少見的且以女性居大多數,並且都較局限性,發炎較輕微,少有如此嚴重之表現。由於成人頭癬的臨床表現常不典型,尤其在使用過局部類固醇之後,易造成誤診,臨床醫師必須有高度的警覺心。 |
英文摘要 | We report a 70-year-old healthy man with extensive, non-scaling erythema and pustules of total scalp extending to is face and ears. The histopathology revealed many fungal spores in the hair follicles with supurative granulomatous inflammation. The fungal culture was positive for Microsporum canis. Because of prolonged incorrect use of topical steroids, the skin lesion was exacerbated and altered clinically. According to the literature, tinea capitis in adults is supposed to be rare and is marked femal preponderance with little inflammatory reaction. The frequent atypical presentation of adult tinea captitis, especially modified by topicala steroids, is frequently misdiagnosed and a high degree of clinical suspicion is required. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。