Tinea profunda cysticum caused by Trichophyton rubrum

被引:10
作者
Kobayashi, M [1 ]
Ishida, E [1 ]
Yasuda, H [1 ]
Yamamoto, O [1 ]
Tokura, Y [1 ]
机构
[1] Univ Occupat & Environm Hlth, Dept Dermatol, Yahatanishi Ku, Kitakyushu, Fukuoka 8078555, Japan
关键词
D O I
10.1016/j.jaad.2005.03.058
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
A 57-year-old Japanese woman developed multiple subcutaneous cysts located on the pubic region, thighs, back, and buttocks. She had been treated with systemic prednisolone and azathioprine for 3 years because of autoimmune hepatitis. Histologic examination revealed that the lesions were pseudocysts With numerous spores and hyphae. Trichophyton rubrum was identified in culture from the content of several examined cysts. The serum beta-D-glucan level was high (313 pg/mL), and a computed tomographic scan of the chest cavity showed infective embolism in the lung. To our best knowledge, this is the first reported case of multiple-cystic tinea profunda, presumably with systemic dermatophyte infection. Systemic T-cell immunosuppression, as represented by a relatively low percentage of memory T cells and negative delayed-type hypersensitivity tests, is considered to cause this rare manifestation of dermatophytosis.
引用
收藏
页码:S11 / S13
页数:3
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