A Case of Tinea Incognito Mimicking Folliculitis in Atopic Dermatitis Patient

@article{ART002231037},
author={ 신요섭 and 김광호 and 박복원 and 조은별 and 박은주 and 김광중 },
title={A Case of Tinea Incognito Mimicking Folliculitis in Atopic Dermatitis Patient},
journal={대한의진균학회지},
issn={1226-4709},
year={2017},
volume={22},
number={2},
pages={73-77},
doi={10.17966/kjmm.2017.22.2.73},
url={http://dx.doi.org/10.17966/kjmm.2017.22.2.73}

TY - JOUR
AU - 신요섭
AU - 김광호
AU - 박복원
AU - 조은별
AU - 박은주
AU - 김광중
TI - A Case of Tinea Incognito Mimicking Folliculitis in Atopic Dermatitis Patient
T2 - 대한의진균학회지
PY - 2017
VL - 22
IS - 2
PB - 대한의진균학회
SP - 73-77
SN - 1226-4709
AB - A 27-year-old male with underlying history of atopic dermatitis presented with skin lesion on the trunk and upper extremity, occurring a month ago. Scattered erythematous multiple tiny maculopapules and patches were noticed. The lesion was first diagnosed as aggravated atopic dermatitis with folliculitis based on the clinical manifestation, but had failed to improve with antibiotics and medications for atopic dermatitis. KOH examinations were performed on his upper arm's lesion, and with detection of hyphae and isolation of Trichophyton rubrum by fungus culture, he was successfully treated with oral itraconazole 200 mg/day and topical flutrimazole. Tinea incognito refers to dermatophyte infections with atypical clinical presentation caused by previous treatment with steroid. Nowadays, the cases of tinea incognito have been increasing due to the increased usage of steroid and other immunosuppressants. Therefore, it is essential to include fungal infection in the differential diagnosis when cutaneous lesions are noticed in patients taking steroid and other immunosuppressants. Herein, we present a tinea incognito that clinically mimicked folliculitis in atopic dermatitis patient.
KW - Atopic dermatitis, Folliculitis, Steroid, Tinea incognito
DO - 10.17966/kjmm.2017.22.2.73
UR - http://dx.doi.org/10.17966/kjmm.2017.22.2.73
ER -

신요섭 , 김광호 , 박복원 , 조은별 , 박은주 and 김광중 (2017). A Case of Tinea Incognito Mimicking Folliculitis in Atopic Dermatitis Patient. 대한의진균학회지, 22( 2), 73- 77.

신요섭 , 김광호 , 박복원 , 조은별 , 박은주 and 김광중 . 2017, “A Case of Tinea Incognito Mimicking Folliculitis in Atopic Dermatitis Patient”, 대한의진균학회지, vol. 22, no. 2, pp. 73-77. Available from: doi:10.17966/kjmm.2017.22.2.73

신요섭 김광호 et al. 박복원 조은별 박은주 김광중 “A Case of Tinea Incognito Mimicking Folliculitis in Atopic Dermatitis Patient” 대한의진균학회지 22.2 pp. 73-77 (2017): 73.

신요섭 , 김광호 , 박복원 , 조은별 , 박은주 , 김광중 . A Case of Tinea Incognito Mimicking Folliculitis in Atopic Dermatitis Patient 대한의진균학회지 [Internet]. 2017; 22( 2), : 73-77. Available from: doi:10.17966/kjmm.2017.22.2.73

신요섭 , 김광호 , 박복원 , 조은별 , 박은주 and 김광중 . “A Case of Tinea Incognito Mimicking Folliculitis in Atopic Dermatitis Patient” 대한의진균학회지 22, no.2 (2017): 73-77. doi: 10.17966/kjmm.2017.22.2.73

홈 권호 목록 논문 목록 논문 상세

A Case of Tinea Incognito Mimicking Folliculitis in Atopic Dermatitis Patient

대한의진균학회지

약어 : 의진균지

2017, vol.22, no.2, pp.73 - 77

DOI : 10.17966/kjmm.2017.22.2.73

발행기관 : 대한의진균학회

연구분야 : 미생물학

신요섭¹ , 김광호² , 박복원³ , 조은별⁴ , 박은주⁵ , 김광중⁶

¹한림대학교 성심병원 피부과

²한림대학교

³한림대학교 성심병원 피부과

⁴한림대학교 의과대학

⁵한림대학교

⁶한림대학교

인용한 논문 수 : - 서지 간략 보기

초록

A 27-year-old male with underlying history of atopic dermatitis presented with skin lesion on the trunk and upper extremity, occurring a month ago. Scattered erythematous multiple tiny maculopapules and patches were noticed. The lesion was first diagnosed as aggravated atopic dermatitis with folliculitis based on the clinical manifestation, but had failed to improve with antibiotics and medications for atopic dermatitis. KOH examinations were performed on his upper arm's lesion, and with detection of hyphae and isolation of Trichophyton rubrum by fungus culture, he was successfully treated with oral itraconazole 200 mg/day and topical flutrimazole. Tinea incognito refers to dermatophyte infections with atypical clinical presentation caused by previous treatment with steroid. Nowadays, the cases of tinea incognito have been increasing due to the increased usage of steroid and other immunosuppressants. Therefore, it is essential to include fungal infection in the differential diagnosis when cutaneous lesions are noticed in patients taking steroid and other immunosuppressants. Herein, we present a tinea incognito that clinically mimicked folliculitis in atopic dermatitis patient.

키워드

Atopic dermatitis, Folliculitis, Steroid, Tinea incognito

참고문헌(10)

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[학술지] 김원정 / 2013 / Tinea Incognito in Korea and Its Risk Factors: Nine-Year Multicenter Survey / Journal of Korean Medical Science 28 (1) : 145 ~ 151
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[학술지] Szepietowski JC / 2008 / Trichophyton rubrum autoinoculation from infected nails is not such a rare phenomenon / Mycoses 51 : 345 ~ 346