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KMID : 0670820100150020077
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Korean Journal of Medical Mycology
2010 Volume.15 No. 2 p.77 ~ p.82
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A Case of Majocchi’s Granuloma of the Face of an Immunocompetent Patient Caused by Trichophyton rubrum
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Ahn Hyo-Sang
Kim Jung-Eun
Park Hyun-Jeong
Cho Baik-Kee
Suh Moo-Kyu
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Abstract
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Majocchi’s granuloma is well recognized but uncommon infection of dermal and subcutaneous tissue by fungal organisms usually limited to the superficial epidermis. The organism most commonly associated with Majocchi’s granuloma is Trichophyton(T.) rubrum, however, other dermatophytes may be the causative agent. A 44-year-old male patient presented with a 6 month history of two well defined erythematous nodular plaques on his right jaw and preauricular area. Histopathologic findings were consistent with the Majocchi’s granuloma, showing perifolliculitis and granulomatous inflammation in the dermis. Many fungal elements were noted within the giant cells of the perifollicular dermis of PAS stained section. T. rubrum was cultured from the biopsy specimen and confirmed by slide culture. After
10 weeks of terbinafine (Lamisil®) therapy (250 mg/day), lesions were cleared with mild erythematous
patches and atrophic scars.
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KEYWORD
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Majocchi’s granuloma, Trichophyton rubrum
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