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KMID : 0363219960340030480
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Korean Journal of Dermatology
1996 Volume.34 No. 3 p.480 ~ p.484
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A Case of Pseudomycetoma due to Trichophyton Mentagrophytes
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이숙경
이봉길/이홍렬/이원우
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Abstract
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Dermatophytes have been demonstrated infrequently in viable tissues such as dermis, subcutis, lymph nodes, bones and other organs. Mycetoma-like lesions caused by dermatophytes, known as pseudomycetoma, have been very rarely reported.
A 56-eyar-old woman presented with several protruding bean to chestnut-sized subcutaneous nodules on the occipital region of the scalp. She had a long term history of epidermolysis bullosa acquisita and intermittent administration of systemic
corticosteroids for 5 years. Histopathology of the subcutasneous nodules showed a well encapsulated granuloma containing characteristic lobulated granules consisted of mycelial aggregates. Trichophyton mentagrophyes grew out on the cultures of
Sabouraud's media with excised tissues. Surgical excision and itraconazole 200mg per day for 10 weeks was tried and skin lesions are improved with focal recurrence.
(Kor J Dermatol 1996;34(3) : 480~484)
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