面部局限性肉芽肿型孢子丝菌病一例  

Granulomatous sporotrichosis limited on the face: a case report

作　　者：段晋婧 周向昭[2] 温杰[2] DUAN Jinjing;ZHOU Xiangzhao;WEN Jie(Graduate School of Hebei North University,Zhangjiakou 075000,China;Dermatology Department,The First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,China)

机构地区：[1]河北北方学院研究生院,河北张家口075000 [2]河北北方学院附属第一医院皮肤科,河北张家口075000

出　　处：《中国麻风皮肤病杂志》2023年第11期828-830,共3页China Journal of Leprosy and Skin Diseases

摘　　要：本文报道一例面部局限性肉芽肿型孢子丝菌病患者。皮肤科查体:右侧面部见3 cm×2.5 cm大小椭圆形浸润性红斑、斑块,周围伴红晕,边界清楚,斑块边缘见绿豆大小结节,中央破溃渗出,可见黄色浆痂附着。真菌镜检可见大量孢子和菌丝,给予伊曲康唑、碘化钾口服溶液、外用萘替芬酮康唑乳膏等治疗3个月,皮损恢复良好。We report a patient with localized granulomatous sporotrichosis on the face.Dermatological examination showed a 3 cm×2.5 cm oval infiltrative erythema and plaque on the right side of the face,surrounded by a halo,with a clear boundary.Mungbean size nodules were seen at the edge of the plaque,and the central part was decomposed and exudated,with yellow eschar attached.A large number of spores and hyphae were observed under the fungal microscope.After 3 months of treatment with itraconazole,oral potassium iodide solution,and topical naphtifenidone conazole cream,the skin lesions recovered well.

关 键 词：孢子丝菌病 面部 局限性肉芽肿型 

分 类 号：R756[医药卫生—皮肤病学与性病学]