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4.
Hautarzt ; 70(8): 601-611, 2019 Aug.
Artigo em Alemão | MEDLINE | ID: mdl-31001659

RESUMO

Tinea barbae is a rare dermatomycocis, by definition follicular bound in the beard area of adult men. Manifestation usually starts with erythema accompanied by desquamation. Deeper distribution along terminal hairs leads to folliculitis with formation of pustules and nodes as well as abscesses; fixed adherent yellowish crusts may appear. Frequently there is locoregional swelling of the lymph nodes and occasionally a deterioration of general condition with (sub)febrile temperatures. Often this leads to the initial suspected diagnosis of a bacterial folliculitis barbae or impetigo contagiosa. Tinea barbae is mostly induced by species of the genus Trichophyton (T.). The pathogens are diverse and are mostly zoophilic, sometimes anthropophilic and rarely geophilic dermatophytes. With the help of a specific anamnesis and diagnostic procedure, including mycological examinations, histology and molecular detection of dermatophytes via polymerase chain reaction (PCR), tinea barbae-in our patient induced by T. mentagrophytes-can be rapidly diagnosed. Early initiation and adequate treatment duration lead to restitutio ad integrum.


Assuntos
Abscesso/diagnóstico , Face/microbiologia , Foliculite/microbiologia , Folículo Piloso/microbiologia , Tinha/diagnóstico , Trichophyton/isolamento & purificação , Abscesso/tratamento farmacológico , Adulto , Antifúngicos/uso terapêutico , Arthrodermataceae , DNA Fúngico/genética , Face/fisiopatologia , Dermatoses Faciais/microbiologia , Foliculite/diagnóstico , Foliculite/tratamento farmacológico , Humanos , Masculino , Reação em Cadeia da Polimerase , Tinha/microbiologia , Resultado do Tratamento , Trichophyton/classificação , Trichophyton/genética
5.
Pediatr Dermatol ; 36(1): e20-e22, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30548334

RESUMO

Dermatophyte infections are exceedingly rare in neonates, possibly due to the thin stratum corneum and high sebum content of neonatal skin. Only a handful of cases of tinea faciei have been reported in neonates, with the majority of reports occuring in India. Here, we report what to our knowledge is the earliest reported presentation of tinea faciei in the United States. We also provide a brief literature review of other reported cases of tinea faciei in neonates less than 30 days of age.


Assuntos
Dermatoses Faciais/diagnóstico , Tinha/diagnóstico , Antifúngicos/uso terapêutico , Diagnóstico Diferencial , Face/microbiologia , Dermatoses Faciais/tratamento farmacológico , Dermatoses Faciais/microbiologia , Feminino , Humanos , Recém-Nascido , Pele/microbiologia , Tinha/tratamento farmacológico , Trichophyton/isolamento & purificação
7.
Med Sante Trop ; 28(3): 273-276, 2018 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-30270829

RESUMO

The necrotizing and not necrotizing acute bacterial dermohypodermitis (DHD) are acute bacterial infections of tissues situated between the skin and the muscles. The localizations of the face are infrequent, and sometimes put diagnostic difficulties with other current facial dermatosis. We report in this article 4 cases of DHD of the face with skin source, hospitalized in the service of the Infectious and Tropical Diseases of the Teaching Hospital Yalgado Ouédraogo of Ouagadougou (Burkina Faso). The objective is to make a current situation of their etiologies and complications, and to look for the difficulties to take care of them in a country with limited resources. The patient's care journey for this disease is long while it constitutes a medical or medical-surgical emergency. Imaging, which is essential for the diagnosis of heart valve disease and the daunting complications of necrotizing fasciitis and mediastinitis, is generally available only in tertiary hospitals. Antibiotic therapy is most often inadequate or insufficient. Anti-inflammatories, widely used, according to several authors contribute to serious forms and excess mortality. Health workers in resource-limited settings need to be better educated and guidelines issued to recognize the signs of this condition in order to enable early referral of patients in specialized settings. In addition, education of the population and hygiene awareness of skin lesions should be a priority to reduce complications.


Assuntos
Erisipela/patologia , Face/patologia , Dermatoses Faciais/microbiologia , Dermatoses Faciais/patologia , Adulto , Erisipela/diagnóstico , Erisipela/tratamento farmacológico , Dermatoses Faciais/diagnóstico , Dermatoses Faciais/tratamento farmacológico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Necrose , Clima Tropical , Adulto Jovem
14.
BMJ Case Rep ; 20182018 Feb 08.
Artigo em Inglês | MEDLINE | ID: mdl-29437818

RESUMO

Tinea infection is a common superficial fungal infection of the skin, hair and nails. Tinea of vellus hair is a rare form of dermatophytosis that is difficult to diagnose and treat. Herein, the authors report the case of a patient who had an itchy rash on the cheek. Microscopic and mycological studies confirmed the diagnosis of tinea of vellus hair. The patient was treated with systemic antifungal therapy with clinical improvement. This report aims to describe an infrequent subtype of common disease and review clinical clues, tools for diagnosis as well as treatment plans.


Assuntos
Antifúngicos/administração & dosagem , Dermatoses Faciais/diagnóstico , Itraconazol/administração & dosagem , Tinha/diagnóstico , Tinha/tratamento farmacológico , Administração Oral , Corticosteroides/efeitos adversos , Adulto , Dermatoses Faciais/tratamento farmacológico , Dermatoses Faciais/microbiologia , Feminino , Cabelo , Humanos , Tinha/microbiologia , Trichophyton/isolamento & purificação
16.
J Am Acad Dermatol ; 78(3): 511-514, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29138059

RESUMO

BACKGROUND: Pityrosporum folliculitis is an under-recognized eruption of the face and upper portion of the trunk that may be confused with, or occur simultaneously with, acne vulgaris. OBJECTIVE: We sought to characterize risk factors for Pityrosporum folliculitis, its clinical presentation, and its response to treatment. METHODS: A retrospective chart review was performed on all patients age 0 to 21 years seen at our facility from 2010 to 2015 with Pityrosporum folliculitis confirmed by a potassium hydroxide preparation. RESULTS: Of 110 qualifying patients, more than 75% had acne that had recently been treated with antibiotics, and when recorded, 65% reported pruritus. Clinical examination demonstrated numerous 1- to 2-mm monomorphic papules and pustules that were typically on the forehead extending into the hairline and on the upper portion of the back. The most common treatment was ketoconazole shampoo, which led to improvement or resolution in most cases. Some patients required oral azole antifungals. LIMITATIONS: This study was retrospective and relied on providers describing and interpreting the clinical findings and potassium hydroxide preparations. No standard grading system was used. CONCLUSION: Unlike classic acne vulgaris, Pityrosporum folliculitis was more common after antibiotic use. It presented as fine monomorphic, pruritic papules and pustules along the hairline and on the upper portion of the back, and it improved with topical or oral azole antifungal therapy.


Assuntos
Acne Vulgar/complicações , Dermatoses Faciais/microbiologia , Foliculite/tratamento farmacológico , Foliculite/microbiologia , Malassezia , Acne Vulgar/tratamento farmacológico , Adolescente , Antibacterianos/uso terapêutico , Antifúngicos/uso terapêutico , Criança , Dermatoses Faciais/complicações , Dermatoses Faciais/tratamento farmacológico , Feminino , Fluconazol/uso terapêutico , Foliculite/complicações , Testa , Humanos , Cetoconazol/uso terapêutico , Masculino , Prurido/complicações , Estudos Retrospectivos , Tronco , Adulto Jovem
17.
JAAPA ; 31(1): 27-29, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29278562

RESUMO

Hansen disease (leprosy) continues to be prevalent in some regions of Africa, Asia, and South America, and each year 100 to 300 cases are reported in the United States, especially in immigrants and patients exposed to armadillos. Treatment depends on patient presentation. Hansen disease remains highly stigmatized, though it is now clear that it is not readily transmitted through casual physical contact.


Assuntos
Dermatoses Faciais/microbiologia , Hipestesia/microbiologia , Hanseníase/complicações , Prurido/microbiologia , Adulto , Saúde da Família , Antebraço , Humanos , Hanseníase/diagnóstico , Hanseníase/tratamento farmacológico , Masculino
18.
Mycoses ; 61(4): 283-285, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29285801

RESUMO

Tinea faciei is a relatively uncommon dermatophytosis that affects the glabrous skin of the face. The aim of this study was to analyse the epidemiologic, clinical and mycological features of tinea faciei cases diagnosed at the Dermatology and Venereology Department of Hospital Santo António dos Capuchos (Lisbon, Portugal). Consecutive cases diagnosed between 2008 and 2016 were studied retrospectively. A total of 72 tinea faciei cases have been diagnosed, involving 37 male and 35 female, aged between 8 months and 86 years. The majority were observed in patients younger than 12 years of age (59.72%). Anthropophilic isolates (mainly Microsporum audouinii, Trichophyton soudanense and Trichophyton rubrum) accounted for 75.7% of the identified dermatophytes. One quarter of the patients were also affected by dermatophytosis in other areas, such as the scalp. Only 10 cases were previously treated with topical steroids due to misdiagnosis. Most patients were treated with topical and systemic antifungal therapy with total resolution of skin lesions, without relapse or side effects. In contrast to other European studies, anthropophilic dermatophytes were the main causative agents of tinea faciei. As previously described to tinea capitis, this result is probably due to changes in the epidemiology of dermatophytes worldwide.


Assuntos
Arthrodermataceae/isolamento & purificação , Dermatoses Faciais/epidemiologia , Microsporum/isolamento & purificação , Tinha/epidemiologia , Trichophyton/isolamento & purificação , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Antifúngicos/uso terapêutico , Arthrodermataceae/classificação , Criança , Pré-Escolar , Dermatoses Faciais/tratamento farmacológico , Dermatoses Faciais/microbiologia , Dermatoses Faciais/patologia , Feminino , Hospitais , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Portugal/epidemiologia , Estudos Retrospectivos , Inquéritos e Questionários , Tinha/tratamento farmacológico , Tinha/microbiologia , Tinha/patologia , Resultado do Tratamento , Adulto Jovem
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