[Tinea follicularis presenting as trichophytic Majocchi granuloma].
We report on a 75 year old patient with a bronchial asthma treated at least for 15 years with low dose prednisolone. Under this treatment he developed a tinea follicularis and was demonstrated in our clinic with papulopustular skin lesions on both forearms, left malleolus and left thigh. We saw tender to touch granulomata on erythematosquamous atrophic skin. A dermatomycosis was diagnosed by isolation and identification of Trichophyton rubrum. In addition the onychomycosis of all finger- and footnails was caused by T. rubrum. Clinical and accessory clinical findings (histology) agreed with a 1883 described disease, granuloma trichophyticum Majocchi. An internal treatment with terbinafine 250 mg/d and topical with tioconazole cream completely cured the skin lesions and the nails.
Nolting
C
C
Krankenhaus Dresden-Friedrichstadt-Städtisches Klinikum-, Hautklinik, Dresden, BR Deutschland.
Vennewald
I
I
Seebacher
C
C
D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D001249:Asthma / Q000150:complications / Q000188:drug therapy; D006099:Granuloma / Q000382:microbiology*; D006801:Humans; D007093:Imidazoles / Q000627:therapeutic use; D008297:Male; D009281:Naphthalenes / Q000627:therapeutic use; D014009:Onychomycosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D011239:Prednisolone / Q000627:therapeutic use; D000077291:Terbinafine; D014005:Tinea / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D014249:Trichophyton / Q000302:isolation & purification*
D000935:Antifungal Agents; D007093:Imidazoles; D009281:Naphthalenes; D011239:Prednisolone; D000077291:Terbinafine; C020527:tioconazole