红色毛癣菌
医学
特比萘芬
他克莫司
病理
活检
免疫抑制
泼尼松龙
肉瘤
肉芽肿
皮肤病科
皮肤活检
移植
抗真菌
外科
伊曲康唑
免疫学
作者
Corinna Brod,Frauke Benedix,Martin Röcken,Martin Schaller
标识
DOI:10.1111/j.1610-0387.2007.06283.x
摘要
Summary A 68‐year‐old man presented with a one month history of painful blue‐red papules and nodules on an erythematous base on the top of his feet, as well as dystrophic toenails. He had undergone renal transplantation six months previously for membranous glomerulonephritis, and was immunosuppressed with tacrolimus 3 g, mycophenolate mofetil 1500 mg and prednisolone 5 mg daily. His tacrolimus level was 29.8 ng/ml (expected level 6–8 ng/ml). Even though the cutaneous lesions strongly suggested Kaposi sarcoma, the histological examination revealed a dermal abscess in which hyphae and spores were seen with PAS staining. ELISA‐PCR of the biopsy identified Trichophyton rubrum , which was also grown on culture of the biopsy tissue. The diagnosis of Majocchi granuloma secondary to excessive immunosuppression was made. Systemic treatment with terbinafine 250 mg per day and topical ciclopirox olamine completely cured the granulomatous skin lesions, and later the nails.
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