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Correspondence |

Severe Generalized Deep Dermatophytosis Due to Trichophyton rubrum (Trichophytic Granuloma) in a Patient With Atopic Dermatitis

Yasuki Tateishi, MD; Hidetsugu Sato, MD; Masashi Akiyama, MD, PhD; Masataka Abe, MD; Hajime Kobayashi, MD; Shintaro Umehara, MD; Jun Yamaguchi, MD, PhD; Hideomi Shibaki, MD, PhD; Hiroshi Shimizu, MD, PhD
Arch Dermatol. 2004;140(5):624-625. doi:10.1001/archderm.140.5.624.
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Trichophytic granuloma is a deep tissue trichophytic infection caused by parasitism resulting from dermatophytes entering into the dermis and subcutis. Most cases of trichophytic granuloma are known to occur in immunocompromised patients.

Grossman  MEPappert  ASGarzon  MCSilvers  DN Invasive Trichophyton rubrum infection in the immunocompromised host: report of three cases J Am Acad Dermatol. 1995;33315- 318
PubMed
Akiba  HMotoki  YSatoh  MIwatsuki  KKaneko  F Recalcitrant trichophytic granuloma associated with NK-cell deficiency in a SLE patient treated with corticosteroid Eur J Dermatol. 2001;1158- 62
PubMed
Hay  RJ Chronic dermatophyte infections, I: clinical and mycological features Br J Dermatol. 1982;1061- 7
PubMed
Erbagci  Z Deep dermatophytoses in association with atopy and diabetes mellitus: Majocchi's granuloma tricophyticum or dermatophytic pseudomycetoma? Mycopathologia. 2002;154163- 169
PubMed
Grigoriu  DDelacrétaz  JBorelli  D Deep generalized dermatophytosis Medical Mycology. Toronto, Canada Hans Huber Publishers1987;143- 152
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Cutaneous lesions on the face. A, Dark-reddish, coalescencing nodules cover most of the skin surface. B, The ears are remarkably swollen, with crusting.

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