误诊为手足综合征的手足癣1例
A case of tinea manus and pedis misdiagnosed as hand-foot syndrome
蔡洁文 1鲁莎 1蔡文莹2
作者信息
- 1. 广州市孙逸仙纪念医院皮肤科,广州 510000
- 2. 广州市孙逸仙纪念医院真菌室,广州 510000
- 折叠
摘要
患者,女,51岁.1个月前因乳腺癌进行第2次化疗后出现双足皮损,之后左手及臀部出现皮损,伴痒,按照手足综合征对症治疗无效.皮肤科检查示双足背侧、双足跖及侧缘、右侧臀部、左手背侧、左手掌侧、左手虎口处可见鳞屑性红斑,边缘环状脱屑,境界清楚.手足及臀部皮损真菌直接镜检阳性,真菌培养为红色毛癣菌.诊断:手癣、足癣、股癣.给与口服及外用抗真菌药物治疗痊愈.
Abstract
A 51-year-old woman developed skin lesions on both feet after her second chemotherapy for breast cancer a month ago.The skin lesions on the left hand and buttocks with itching were ineffective according to the symptomatic treat-ment of hand-foot syndrome.Dermatologic examination showed scaly erythema on the dorsal aspect of dorsum of both feet,both feet's metatarsal and lateral edge,right buttock,dorsum of left hand,palmar side of left hand,thenar eminence of left hand,with a ring-like flaking edge and clear boundaries.Fungal direct microscopy tests of the lesions on the hands,feet and buttocks were positive,and the result of fungal culture was Trichophyton rubrum.Diagnosis:tinea manum,tinea pedis,tinea cruris.The patient was cured by oral and topical antifungal drugs.
关键词
手足综合征/足癣/手癣Key words
hand-foot syndrome/tinea manum/tinea pedis引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据