모낭염 및 농가진 임상 양상을 보인 범발성 Trichophyton Rubrum 감염증 1례

Abstract

Trichophyton rubrum is anthropophilic, Ectothrix, and the most common dermatophyte of a man. The characteristic lesions are one or more circular, sharply circumscribed, slightly erythematous, dry, scaly, patches with elevated border. Other variants are reported, such as granulomatous, bullous or verrucous, versicolor like lesions. We present a case of Trichophyton rubrum infection presenting as folliculitis and impetigo in a 32 years old male who have been treated with Prednisolone (90mg/day) for minimal change nephrotic syndrome. The skin lesion showed widely distributed scaly plaques, crusts and plaques, crusts and pustules mimicking folliculitis and impetgo. On KOH mount and PAS stain, fungal hyphae were noted and Trichophyton rubrum was isolated on the fungus culture. He was successfully treated by application of itraconazole topical ointment for 6 weeks without recurred lesions.