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深层皮肤困境:在局部使用类固醇后,马约基粒瘤的病例报告
Renuka Devi Veerakumar1, Aravind Baskar Murthy1, Priya Cinna T Durai1
1Dermatology, Venereology, and Leprosy, Sri Ramaswamy Memorial (SRM) Medical College Hospital and Research Centre, Chennai, IND.
Cureus
|November 19, 2024
概括
由于局部类固醇的滥用,Majocchi的颗粒瘤是一种深层皮肤的真菌感染,越来越多地出现. 早期诊断和使用口服特比纳和局部抗真菌药物的治疗是有效的.
科学领域:
- 皮肤病学 皮肤病学
- 菌类学 菌类学是指菌类学.
- 传染性疾病 传染性疾病
背景情况:
- 马约基粒瘤是一种涉及皮肤和皮下组织的深层真菌感染,通常是由创伤或局部皮质类固醇使用引发的.
- 马约基粒瘤的患病率有所增加,这与非处方药局部类固醇的广泛可用性和滥用有关.
- 在这些感染中,Trichophyton rubrum是最常见的病原体.
研究的目的:
- 为了呈现一个马约基粒瘤病例.
- 突出局部类固醇滥用在其病变发生中的作用.
- 为了说明这种情况的有效治疗策略.
主要方法:
- 在局部类固醇应用后,一个57岁的男性在右脚上出现的病变的临床表现.
- 诊断工作包括氧化 (KOH) 检查,组织病理学检查 (HPE) 和真菌培养.
- 治疗包括口服的特比纳和局部的卢利可纳奶油.
主要成果:
- 科赫检查证实了真菌菌,HPE表明马约基粒瘤.
- 菌培养物确定了Trichophyton rubrum作为致病剂.
- 患者在治疗三周内显示出明显的病变解脱.
结论:
- 马约基粒瘤是一种严重的皮肤病,因局部类固醇滥用而恶化.
- 通过KOH,HPE和真菌培养来及时诊断至关重要.
- 与口服和局部抗真菌药物的联合治疗提供了有效的治疗方法,尽管建议长时间使用.
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