title: A Case Report of Widespread Majocchi's Granuloma in a Patient with Systemic Lupus Erythematosus.
abstract: Majocchi's granuloma is an intracutaneous or subcutaneous granulomatous inflammation caused by invasion of dermatophytic fungus, especially Trichophyton rubrum. This type of lesion is misdiagnosed frequently without proper auxiliary examination. Here, we report a case of widespread Majocchi's granuloma caused by T. rubrum in a 35-year-old woman with systemic lupus erythematosus for 9 years. The patient was initially misdiagnosed as SLE-associated skin lesions, which delayed her treatment and resulted in severe multiple disseminated lesions. After confirmed as Majocchi's granuloma, the patient was cured after 11-month treatment with terbinafine.
authors.affiliation: Department of Dermatology and Venerology, The 3rd Affiliated Hospital of Southern Medical University, 183 West Zhongshan Rd, Guangzhou, 510630, China.|Department of Dermatology, Shenzhen Hospital of Southern Medical University, Shenzhen, 518100, Guangdong, China.
authors.forename: Sitong
authors.initials: S
authors.lastname: Zhou
authors.affiliation: Department of Dermatology and Venerology, The 3rd Affiliated Hospital of Southern Medical University, 183 West Zhongshan Rd, Guangzhou, 510630, China.|Department of Dermatology, Zhujiang Hospital of Southern Medical University, 253 Gongye Rd, Guangzhou, 510282, China.
authors.forename: Yemei
authors.initials: Y
authors.lastname: Yang
authors.affiliation: Department of Dermatology and Venerology, The 3rd Affiliated Hospital of Southern Medical University, 183 West Zhongshan Rd, Guangzhou, 510630, China.
authors.forename: Kangxing
authors.initials: K
authors.lastname: Liu
authors.affiliation: Department of Dermatology and Venerology, The 3rd Affiliated Hospital of Southern Medical University, 183 West Zhongshan Rd, Guangzhou, 510630, China.
authors.forename: Shiyun
authors.initials: S
authors.lastname: Huang
authors.affiliation: Department of Dermatology and Venerology, The 3rd Affiliated Hospital of Southern Medical University, 183 West Zhongshan Rd, Guangzhou, 510630, China. huyongxuan2003@163.com.
authors.forename: Yongxuan
authors.initials: Y
authors.lastname: Hu
authors.affiliation: Department of Dermatology and Venerology, The 3rd Affiliated Hospital of Southern Medical University, 183 West Zhongshan Rd, Guangzhou, 510630, China. zxy1962@163.com.
authors.forename: Xianyi
authors.initials: X
authors.lastname: Zhou
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D003881:Dermatomycoses / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology*; D005260:Female; D006099:Granuloma / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology*; D006651:Histocytochemistry; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000175:diagnosis* / Q000473:pathology*; D008828:Microbiological Techniques; D008853:Microscopy; D009281:Naphthalenes / Q000627:therapeutic use; D000077291:Terbinafine; D016896:Treatment Outcome; D014249:Trichophyton / Q000145:classification / Q000302:isolation & purification*
chemical_list: D000935:Antifungal Agents; D009281:Naphthalenes; D000077291:Terbinafine
keywords: Majocchi’s granuloma; Systemic lupus erythematosus; Terbinafine; Trichophyton rubrum