首页|足癣、甲真菌病合并绿甲综合征1例

足癣、甲真菌病合并绿甲综合征1例

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患者女,21岁,双足趾缝发白、脱屑伴趾甲毁损5年.趾缝、趾甲荧光真菌镜检可见竹节样菌丝.左足拇趾甲屑细菌培养可见铜绿假单胞菌;药敏试验提示对喹诺酮类、头孢类等多种抗生素敏感.皮肤镜检查左足拇趾甲板下可见大理石样浑浊区,白色纵行条纹,锯齿状边缘,尖峰朝向近端,伴黄绿色色素条纹.诊断:足癣、甲真菌病合并绿甲综合征.临床上皮肤浅部真菌感染常见,但足癣、甲真菌病伴发绿甲相关报道较少.
Tinea Pedis and Onychomycosis Combined with Green Nail Syndrome:A Case Report
A 21-year-old woman presented with whitish and desquamated bilateral toe sutures with toenail destruction for five years.Fluorescent fungal microscopy of toe suture and toenail showed bamboo-like hyphae.Pseudomonas aeruginosa was found in the bacterial culture of nail debris of the left hallux;drug sensitivity test showed sensitivity to quinolones,cephalosporins and other antibiotics.Dermatoscopy showed marbled areas under the deck of the left hallux,white longitudinal stripes,serrated edges,and spikes directed proximally,with yellow-green pigment stripes.Diagnosis:tinea pedis,onychomycosis with green nail syndrome.Fungal infections of the superficial epithelium are common in clinical practice,but there are few reports related to tinea pedis and onychomycosis associated with green nails.

Pseudomonas aeruginosaGreen nail syndromeDermoscopy

麦镜明、林志坚、张穗盈、李君静、朱慧、欧健梅、孙澍彬

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广东医科大学附属东莞松山湖中心医院皮肤科,广东东莞 523326

广东医科大学附属东莞松山湖中心医院检验科,广东东莞 523326

铜绿假单胞菌 绿甲综合征 皮肤镜

广东省医学科学技术研究基金项目

A2022227

2024

皮肤科学通报
西安交通大学

皮肤科学通报

CSTPCD
影响因子:0.273
ISSN:1001-8077
年,卷(期):2024.41(2)
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