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Universal ichthyosiform trichophyton violaceum in myxoedema
D V Stevanović1, N Martinović, A Krunić
1Department of Dermatology, Medical School, University of Belgrade.
Dermatologische Monatschrift
|January 1, 1990
Summary
A severe fungal skin infection rapidly spread in a 29-year-old man after thyroid surgery complicated his myxedema. Irregular medication and a traffic accident worsened his condition, leading to a generalized mycotic state.
Area of Science:
- Dermatology
- Endocrinology
- Mycology
Background:
- A 29-year-old male patient with a history of thyroidectomy experienced complications of myxedema.
- The patient exhibited poor adherence to medication regimens and was on continuous sick pay.
Observation:
- An established, long-standing onychomycotic (nail fungus) infection began to spread rapidly onto the patient's skin.
- A serious traffic accident occurred concurrently with the subtle onset of myxedema.
Findings:
- The patient's myxedema progressively worsened.
- The superficial fungal infection (ringworm) transformed into a generalized ichthyosiform, or universal mycotic, condition.
Implications:
- This case highlights the potential for severe cutaneous manifestations in patients with poorly managed endocrine disorders like myxedema.
- It underscores the importance of medication adherence in managing chronic conditions and preventing secondary infections.
- The interaction between myxedema and superficial mycoses suggests a compromised immune response or altered skin barrier function.