Abstract

BACKGROUND: The clinical types of sporotrichosis are generally classified into four groups: lymphocutaneous, fixed cutaneous, and cutaneous disseminated, and hematogenous. Of these, the lymphocutaneous variety is the most frequently encountered pattern, constituting 80% of sporotrichosis patients and the fixed cutaneous sporotrichosis is the next Potassium iodide (KI) was the most commonly used drug for the treatment of sporotrichosis. Many studies about these clinical findings of sporotrichosis have been reported, but comparative study on the changes in clinical findings has not been reported.

OBJECTIVE: The purpose of this study is to clarify the changes of the clinical findings in sporotrichosis in Korea. 

METHODS: A total of 58 patients with sporotrichosis who had visited the Department of Dermatology, Pusan National University were divided into 2 groups according to the period and then the clinical findings of sporotrichosis were compared.

RESULTS: The results of study are summarized as follows:

1. During this period, there were 58 cases of sporotrichosis. In the past period (1967~1979) there were 35 cases of sporotrichosis, and there were 23 cases in the recent period (1980~1997).

2. In the past period, most cases (71.4%) were lymphocutaneous type, however in the recent period, most cases (69.2%) were fixed cutaneous type.

3. The most commonly affected site was right upper extremity in the past period, but face & right upper extremity were the most commonly affected sites in the recent period.

4. In the past period, 2nd and 3rd decades were prevalent age group, but 5th to 7th decades were prevalent age group in the recent period.

5. In the treatment of sporotrichosis, potassium iodide (KI) was the choice of treatment in the past period, however itraconazole is gradually used in the recent period.

CONCLUSION: According to this study, many changes in clinical findings of sporotrichosis were noted, especially in the clinical type. We found that conical type of sporotrichosis changed from lymphocutaneous type to the fixed cutaneous type with time. And we suggest that further observation would be necessary to define the meaning of these changes. 

Keywords

Clinical findings Fixed cutaneous Lymphocutaneous Sporotrichosis

KJMM 1997 June;2(1):43-49(7). Epub 2016 February 25
Copyright © 1997 by Korean Journal of Medical Mycology

Language

Korean/English

Author

Chae Sung Yim; Department of Dermatology, College of Medicine, Pusan National University, Pusan, Korea
Kyung Sool Kwon; Department of Dermatology, College of Medicine, Pusan National University, Pusan, Korea
Ho Sun Jang; Department of Dermatology, College of Medicine, Pusan National University, Pusan, Korea
Tae Ahn Chung; Department of Dermatology, College of Medicine, Pusan National University, Pusan, Korea
Chang Keun Oh; Department of Dermatology, College of Medicine, Pusan National University, Pusan, Korea

Corresponding

Chae Sung Yim, Department of Dermatology, College of Medicine, Pusan National University, Pusan, Korea.

Publication history

Acknowledgements

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Chae Sung Yim

Department of Dermatology, College of Medicine, Pusan National University, Pusan, Korea

Kyung Sool Kwon

Department of Dermatology, College of Medicine, Pusan National University, Pusan, Korea

Ho Sun Jang

Department of Dermatology, College of Medicine, Pusan National University, Pusan, Korea

Tae Ahn Chung

Department of Dermatology, College of Medicine, Pusan National University, Pusan, Korea

Chang Keun Oh

Department of Dermatology, College of Medicine, Pusan National University, Pusan, Korea

Since epub date 2016 February 25