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Folliculitis on the Face due to Trichophyton mentagrophytes

Jong Seong Ahn,Jeong Aee Kim,Kwang Hyun Cho,Jai Il Youn
Epub 2016 February 25

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Abstract



Superficial fungal infections of the face, especially at the beard region, are frequently misdiagnosed. Application of corticosteroids modifies these original clinical manifestations and induces other dermatoses, which may lead to misdiagnosis. We report the case of a patient with fungal folliculitis on the face. The patient had multiple papules and pustules on the perioral area, cheek and periorbital area. Clinically, these lesions looked like lupus miliaris disseminatus faciei or rosacea. At first, we treated the patient with systemic roxithromycin and topical clindamycin, but there was no response to the therapy. Histopathological and mycological examinations revealed that the diagnosis was folliculitis due to Trichophyton mentagrophytes. The lesion was cured by administration of itraconazole for 6 weeks.


Keywords


Fungal folliculitis Trichophyton mentagrophytes




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