中国麻风皮肤病杂志 ›› 2023, Vol. 39 ›› Issue (11): 828-830.doi: 10.12144/zgmfskin202311828

• 病例报告 • 上一篇    下一篇

面部局限性肉芽肿型孢子丝菌病一例

段晋婧1,周向昭2,温杰2   

  1. 1河北北方学院研究生院，河北张家口，075000；2河北北方学院附属第一医院皮肤科，河北张家口， 075000
  • 出版日期:2023-11-15 发布日期:2023-10-27

Granulomatous sporotrichosis limited on the face: a case report

DUAN Jinjing1, ZHOU Xiangzhao2, WEN Jie2   

  1. 1 Graduate School of Hebei North University, Zhangjiakou 075000, China; 2 Dermatology Department, The First Affiliated Hospital of Hebei North University, Zhangjiakou 075000, China
  • Online:2023-11-15 Published:2023-10-27

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摘要： 本文报道一例面部局限性肉芽肿型孢子丝菌病患者。皮肤科查体：右侧面部见3 cm×2.5 cm大小椭圆形浸润性红斑、斑块，周围伴红晕，边界清楚，斑块边缘见绿豆大小结节，中央破溃渗出，可见黄色浆痂附着。真菌镜检可见大量孢子和菌丝，给予伊曲康唑、碘化钾口服溶液、外用萘替芬酮康唑乳膏等治疗3个月，皮损恢复良好。

关键词: 孢子丝菌病, 面部, 局限性肉芽肿型

Abstract: We report a patient with localized granulomatous sporotrichosis on the face. Dermatological examination showed a 3 cm×2.5 cm oval infiltrative erythema and plaque on the right side of the face, surrounded by a halo, with a clear boundary. Mungbean size nodules were seen at the edge of the plaque, and the central part was decomposed and exudated, with yellow eschar attached. A large number of spores and hyphae were observed under the fungal microscope. After 3 months of treatment with itraconazole, oral potassium iodide solution, and topical naphtifenidone conazole cream, the skin lesions recovered well.

Key words: sporotrichosis, face, granulomatous