Cutaneous sporotrichosis: Unusual clinical presentations
| Autor: | Poonam Gupta, Kavita Mardi, Nand Lal Sharma, Vinay Shanker, Vikram K Mahajan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Tuberculosis Itraconazole lymphocutaneous sporotrichosis Administration Topical multifocal (disseminated) cutaneous sporotrichosis fixed cutaneous sporotrichosis Dermatology Diagnosis Differential Young Adult medicine lcsh:Dermatology Humans Sporothrix schenckii Basal cell carcinoma biology Sporotrichosis business.industry Potassium Iodide Extracutaneous (systemic) sporotrichosis Middle Aged lcsh:RL1-803 biology.organism_classification medicine.disease Surgery Infectious Diseases Effusion Female Histopathology business Prurigo nodularis medicine.drug |
| Zdroj: | Indian Journal of Dermatology, Venereology and Leprology, Vol 76, Iss 3, Pp 276-280 (2010) |
| ISSN: | 0973-3922 0378-6323 |
| Popis: | Three unusual clinical forms of sporotrichosis described in this paper will be a primer for the clinicians for an early diagnosis and treatment, especially in its unusual presentations. Case 1, a 52-year-old man, developed sporotrichosis over pre-existing facial nodulo-ulcerative basal cell carcinoma of seven-year duration, due to its contamination perhaps from topical herbal pastes and lymphocutaneous sporotrichosis over right hand/forearm from facial lesion/herbal paste. Case 2, a 25-year-old woman, presented with disseminated systemic-cutaneous, osteoarticular and possibly pleural (effusion) sporotrichosis. There was no laboratory evidence of tuberculosis and treatment with anti-tuberculosis drugs (ATT) did not benefit. Both these cases were diagnosed by histopathology/culture of S. schenckii from tissue specimens. Case 3, a 20-year-old girl, had multiple intensely pruritic, nodular lesions over/around left knee of two-year duration. She was diagnosed clinically as a case of prurigo nodularis and histologically as cutaneous tuberculosis, albeit, other laboratory investigations and treatment with ATT did not support the diagnosis. All the three patients responded well to saturated solution of potassium iodide (SSKI) therapy. A high clinical suspicion is important in early diagnosis and treatment to prevent chronicity and morbidity in these patients. SSKI is fairly safe and effective when itraconazole is not affordable/ available. |
| Databáze: | OpenAIRE |
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