误诊为湿疹的癣菌疹1例  

A case of tinea incognito misdiagnosed as“eczema”

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作  者:赵国栋 张丽萍 赵俊莉 张宝祥[2] ZHAO Guodong;ZHANG Liping;ZHAO Junli;ZHANG Baoxiang(Changle People’s Hospital,Weifang 262499,China;Yidu Central Hospital of Weifang City,Weifang 262500,China)

机构地区:[1]山东省潍坊市昌乐县人民医院,潍坊262499 [2]山东省潍坊市益都中心医院,潍坊262500

出  处:《中国真菌学杂志》2025年第1期76-78,共3页Chinese Journal of Mycology

基  金:山东省医药卫生科技项目(202404111330)。

摘  要:报道1例误诊为“湿疹”的癣菌疹。患者,男,44岁,面部、四肢反复起皮疹,伴瘙痒1年余,加重1周。应用抗组胺、激素类、生物制剂等治疗均维持较短时间即复发。结合其曾患有足癣病史多年,曾外用某药膏半个月后出现全身泛发皮疹,故考虑为治疗足癣时应用了刺激性药物后出现了变态反应性损害——癣菌疹。右面部、右手掌、左足背皮损经免疫荧光真菌镜检见大量真菌孢子,明确癣菌疹诊断后给予抗真菌药物以及抗组胺类药物等对症治疗,原发病灶给予外用抗真菌药膏,避免使用有刺激性的外用药物,后期以滋润保湿为主,经过系统治疗后皮疹痊愈。Report a case of tinea incognito misdiagnosed as"eczema".The patient was a 44 years old male,who had recurrent rashes on the face and limbs accompanied by itching for more than one year,and aggravated for one week.Treatment with antihistamines,hormones,biologics,etc.could control symptons for a relatively short time.Combined with the many years history of tinea pedis,generalized rashes all over the body appeared after topically applying a certain ointment for half a month.Therefore,it is considered that allergic damage-tinea incognito occurred after applying irritating drugs when treating tinea pedis.For the skin lesions on the right face,right palm,and left dorsal foot,a large number of fungal spores were seen under immunofluorescence fungal microscopy.After a definite diagnosis of tinea incognito was made,antifungal drugs and antihistamine drugs were given for symptomatic treatment.For the primary lesion,topical antifungal ointment was applied.Irritating topical drugs were avoided.Later,moisturizing and hydrating were mainly used.After systematic treatment,the rash was cured.

关 键 词:癣菌疹 变态反应 真菌孢子 

分 类 号:R756[医药卫生—皮肤病学与性病学]

 

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