Sporotrichosis and Dematiaceous Fungal Skin Infections
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- Kusuhara Masahiro
- KUSUHARA Dermatology Clinic
Bibliographic Information
- Other Title
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- スポロトリコーシス・クロモミコーシス (含皮膚黒色真菌感染症)
- スポロトリコーシス ・ クロモミコーシス(ガン ヒフ コクショク シンキン カンセンショウ)
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Abstract
Sporotrichosis is a chronic infectious granuloma of skin. The detection of fungal elements in pathological examination and the isolation of Sporothrix schenckii from the lesion are requisite for diagnosis. The sporotrichin test is useful as an auxiliary examination, but a false-negative reaction might occur in some cases. Oral potassium iodide is first choice of treatment, because of its modest cost and usefulness, although gastrointestinal disorder is a frequent side effect. Itraconazole should be the second selection, and then terbinafine. Local thermotherapy is also effective as an additional therapy. Dematiaceous fungal skin infections are divided into two groups by their parasitic form, chromoblastomycosis and phaeohyphomycosis. Chromoblastomycosis is also called chromomycosis in Japan. It is most important for clinical diagnosis to detect dark brown spores in the scale of chromoblastomycosis and dark brown hyphae in the pus of phaeohyphomycosis by microscopic examination. Both morphological and molecular biological approaches are recommended for identification of fungi. In treatment, the drug appropriate in each case should be selected, and the combination of surgical excision, local thermotherapy, laser therapy or cryotherapy must be considered.
Journal
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- Nippon Ishinkin Gakkai Zasshi
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Nippon Ishinkin Gakkai Zasshi 50 (4), 213-217, 2009
The Japanese Society for Medical Mycology
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Keywords
Details 詳細情報について
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- CRID
- 1390282679189924608
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- NII Article ID
- 10026094538
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- NII Book ID
- AN10166867
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- ISSN
- 18820476
- 09164804
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- NDL BIB ID
- 023254129
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed