文献简介

出版社:

作  者:Lorena Barboza-Guadagnini, MD; María Teresa Fernández-Figueras, MD, PhD; Julio Bassas-Vila, MD

编  号:

关键字:Trichomycosis axillaris

年  份:2015   点击量:191

提  供:JAMA Dermatology

文献摘要 全文翻译

A man in his 20s was referred to our department because of the presence of a sticky material around the underarm hair for approximately 1 year. The patient explained that he usually plays soccer and sweats abundantly. He did not apply deodorant or any other products in the underarm, and he ensured proper hygiene of the area. The lesions did not produce itching. Physical examination revealed creamy yellow concretions along several hair shafts, in both armpits, with strong axillary odor (Figure, A). These concretions did not disappear when cleansed with alcohol. Hair samples of the affected areas were sent for microscopy examination (Figure, B-D) and microbiologic culture. Treatment with antiseptic soap and a miconazole nitrate cream was initiated. After 2 weeks of treatment, the lesions had resolved and the patient had normal axillary hairs. Confirmation of the suspected diagnosis was made with the results of complementary tests.

患者男性,20余岁,因腋毛处出现粘着物质近1年就诊。患者自述其常踢足球,大量出汗。患者未在腋下使用任何除臭剂或其他药品,且确保腋下干净卫生。皮损处无瘙痒感。体格检查示腋窝处乳黄色结节沿毛干分布,双腋下伴强烈狐臭(图A)。采用酒精清洗,并未消除结节。取受感染区域的毛发样本进行显微镜检查(图B-D)和微生物培养。开始采用抗菌性肥皂和硝酸咪康唑霜剂治疗。2周后,皮损消退,且腋毛恢复正常。利用互补测验结果进行疑似诊断确认。