Experience Professional dermatomycosis of the face, neck and upper part of chest caused by T. mentagrophytes
- Authors: Matveeva O.V.1, Mikheev G.N.2, Sokolovskiy E.V.2
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Affiliations:
- First Pavlov State Medical University of St. Petersburg
- First Pavlov State Medical University of Saint Petersburg
- Issue: Vol 97, No 5 (2021)
- Pages: 81-87
- Section: CLINICAL CASE REPORTS
- URL: https://journals.rcsi.science/0042-4609/article/view/117595
- DOI: https://doi.org/10.25208/vdv1259
- ID: 117595
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Abstract
A 43-year-old female zoologist has an occupational dermatomycosis of the face, neck and upper part of chest caused by T. mentagrophytes. It was mistakenly diagnosed and treated as "Rosacea, papulopustular subtype, ocular rosacea" for 1.5 years. Symmetrical, atypical clinical manifestations with recurrent blepharoconjunctivitis developed as a result of self-treatment using a topical steroid. The detection of cicatrizing folliculitis in the eyebrow area and an arcual peripheral edge in fresh foci on the chest helped to suspect dermatomycosis. The definitive diagnosis was made after the detection of abundant coarse septate mycelium during microscopic investigation of skin scales from foci on the face and chest with 30% KOH and an abundant growth of Trichophyton mentagrophytes during a cultural research study of skin scales, eyebrow hair and eyelashes from lesions. The use of terbinafine for 4 weeks led to the recovery of the patient.
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##article.viewOnOriginalSite##About the authors
O. V. Matveeva
First Pavlov State Medical University of St. Petersburg
Email: ksusha721128@mail.ru
ORCID iD: 0000-0003-4847-6254
SPIN-code: 1544-0180
Dermatovenerologist
Russian Federation, Saint PetersburgG. N. Mikheev
First Pavlov State Medical University of Saint Petersburg
Email: info@eco-vector.com
SPIN-code: 2865-7996
MD, Cand. Sci. (Med.), assistant professor
Russian Federation, Saint PetersburgE. V. Sokolovskiy
First Pavlov State Medical University of Saint Petersburg
Author for correspondence.
Email: s40@mail.ru
ORCID iD: 0000-0001-7610-6061
SPIN-code: 6807-7137
MD, Dr. Sci. (Med.), Professor
Russian Federation, Saint PetersburgReferences
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