Subject(s)
Humans , Male , Aged , Tinea/microbiology , Trichophyton/isolation & purification , Folliculitis/microbiology , Tinea/drug therapy , Biopsy , Itraconazole/therapeutic use , Face/microbiology , Face/pathology , Facial Dermatoses/pathology , Facial Dermatoses/drug therapy , Folliculitis/drug therapy , Antifungal Agents/therapeutic useABSTRACT
Abstract This report describes the usefulness of dermoscopy as a supportive diagnostic tool in a pseudomonas folliculitis case.
Subject(s)
Humans , Female , Adult , Pseudomonas Infections/diagnostic imaging , Dermoscopy/methods , Folliculitis/microbiology , Folliculitis/diagnostic imaging , Pseudomonas aeruginosa/isolation & purification , Pseudomonas Infections/pathology , Skin/microbiology , Skin/diagnostic imaging , Reproducibility of Results , Diagnosis, Differential , Folliculitis/pathologyABSTRACT
Malassezia folliculitis is an inflammatory disorder observed in both immunocompetent and immunosuppressed patients. The authors describe an unusual and exuberant presumed case affecting the face, trunk and upper limbs of a 12-year-old nonimmunosuppressed patient. Although the agent was not identified by culture, the clinical and histopathological aspects plus the response to specific treatment support the diagnosis of Malassezia folliculitis. The only possible predisponent cause observed on the patient was greasy skin. Repetitive cultures were negative. Treatment with itraconazol promoted apparent cure, however, the patient relapsed twelve months later.
Foliculite por Malassezia é processo inflamatório observado em pacientes imunocompetentes e imunossuprimidos. Os autores relatam um provável caso exuberante e incomum comprometendo a face, tronco e membros superiores de paciente de 12 anos de idade, não imunossuprimido. Embora o agente não tenha sido cultivado, os achados clínicos e histopatológicos aliados à resposta terapêutica sugerem o diagnóstico de foliculite por Malassezia. A única possivel causa predisponente demonstrada no paciente foi a pele oleosa. Tentativas de cultivo do agente foram negativas. O tratamento com itraconazol promoveu cura aparente, entretanto, houve recaída após 12 meses.