中国真菌学杂志2015，Vol.10Issue(5)：294-296,3.
断发毛癣菌所致成人黑点癣1例
A case of adult black?dot ringworm due to Trichophyton tonsurans
杨阳 1刘涵 1景东云 2彭琳琳 2王玲 2夏玉坤 2杨蓉娅 1吕雪莲1
作者信息
- 1. 中国人民解放军北京军区总医院皮肤科,北京 100700
- 2. 大连市皮肤病医院,大连 116021
- 折叠
摘要
Abstract
A 68?year old female farmer presented with hair loss for 3 months. Physical examination showed irregularly dark red patch with a little amount of scales.The hairs in the red lesion broke off from the scalp presented with black dotted like,while the hair follicles showed swollen with mild fluctuation. Direct fungal microscopic examination presented a large amount of chain?like spores distribution along the inside of hair shaft. Fungal culture isolated yellow?white woolly colony presented with short rod?like or pear?shaped microconidiain by slide culture and positive urease test. Molecular identification by BLAST based on rDNA ITS sequencing confirmed as Trichophyton tonsurans.The diagnosis was confirmed as black?dot ringworm caused by Trichophyton tonsurans.Therapeu?tic drugs included oral itraconazole, 0. 2?0. 4 per day, external ketoconazole lotion, triamcinolone acetonide and econazole nitrate cream,and ketoconazole cream.After 2 months treatment,skin lesions completely faded and broken hair grew back without scarring al?opecia.No recurrence after treatment was observed in 6?month follow?up.关键词
黑点癣/头癣/断发毛癣菌/伊曲康唑/成人Key words
black dot ringworm/tinea capitis/Trichophyton tonsurans/itraconazole/adult分类
医药卫生引用本文复制引用
杨阳,刘涵,景东云,彭琳琳,王玲,夏玉坤,杨蓉娅,吕雪莲..断发毛癣菌所致成人黑点癣1例[J].中国真菌学杂志,2015,10(5):294-296,3.
