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An. bras. dermatol ; 91(6): 829-831, Nov.-Dec. 2016. tab, graf
Article Dans Anglais | LILACS | ID: biblio-837967

Résumé

Abstract Tinea faciei is a relatively uncommon dermatophyte infection entailing atypical clinical symptoms, usually misdiagnosed and treated with corticosteroids. The authors describe a case of tinea faciei on the right eyebrow caused by Trichophyton interdigitale. The patient was an 18-year-old girl, who had an inflammatory plaque with a scaly, pustular surface on the right eyebrow and upper eyelid, which had persisted for over 1 month. She was once misdiagnosed as having eczema and was treated using corticosteroid cream. A diagnosis of tinea faciei was made based on direct microscopy and culture. The sequencing of the nuclear ribosomal ITS region and β-tubulin gene of the isolate established its T. interdigitale lineage. The patient was cured by treatment with systemic terbinafine in combination with topical application of 1% naftifine-0.25% ketaconazole cream for 2 weeks.


Sujets)
Humains , Femelle , Adolescent , Teigne/anatomopathologie , Trichophyton/isolement et purification , Sourcils/microbiologie , Sourcils/anatomopathologie , Dermatoses faciales/microbiologie , Dermatoses faciales/anatomopathologie , Teigne/traitement médicamenteux , Urease/analyse , Microscopie électronique à balayage , Résultat thérapeutique , Dermoscopie , Dermatoses faciales/traitement médicamenteux , Antifongiques/usage thérapeutique , Naphtalènes/usage thérapeutique
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