피부결핵으로 오진되었던 스포로트리쿰증 1예

A Case of Sporotrichosis misdiagnosed as Lupus Vulgaris

  • 김기홍 (영남대학교 의과대학 피부과학교실) ;
  • 신동훈 (영남대학교 의과대학 피부과학교실) ;
  • 박용묘 (영남대학교 의과대학 피부과학교실) ;
  • 김종철 (영남대학교 의과대학 피부과학교실) ;
  • 최종수 (영남대학교 의과대학 피부과학교실)
  • Kim, Ki-Hong (Department of Dermatology, Yeungnam University, College of Medicine) ;
  • Shin, Dong-Hoon (Department of Dermatology, Yeungnam University, College of Medicine) ;
  • Park, Yong-Myo (Department of Dermatology, Yeungnam University, College of Medicine) ;
  • Kim, Jong-Cheul (Department of Dermatology, Yeungnam University, College of Medicine) ;
  • Choi, Jong-Soo (Department of Dermatology, Yeungnam University, College of Medicine)
  • 발행 : 1990.06.30

초록

저자들은 피부결핵으로 오진되었던 스포로트리콤증 1예를 경험하고 진균배양검사로 확진하였으며 cycloheximide가 포함된 Sabouraud 포도당 한천 배지에서의 성장상을 함께 관찰하여 보고한다.

A case of sporotrichosis misdiagnosed as lupus vulgaris was presented. A 56-year-old woman had bean to pea sized, nontender pustules and a hypertrophic-sear-like nodule on the right thigh. She denied any trauma before the lesions developed. Histopathologic findings from the lesion showed tuberculosis-like granulomatous changes. And she was diagnosed as lupus vuagaris. She also had pulmonary tuberculosis and had been treated with antituberculous drugs for 1 year. But skin lesions was not cleared. We suspected the lesions as one of deep mycoses and could confirm sporotrichosis by mycologic studies. They showed characteristic gross colonies and microscopic findings of Sporothrix schenckii.

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