A Case of Generalized Ringworm Associated with Hypercortisolemia

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  • Yamane Mariko
    Department of Dermatology, Kawasaki Medical School
  • Yamamoto Takenobu
    Department of Dermatology, Kawasaki Medical School Department of Dermatology, Kawasaki Medical School, General Medical Center
  • Hayashi Hiroaki
    Department of Dermatology, Kawasaki Medical School
  • Aoyama Yumi
    Department of Dermatology, Kawasaki Medical School

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Other Title
  • 高コルチゾール血症に関連して発症した汎発性白癬の1例
  • 症例報告 高コルチゾール血症に関連して発症した汎発性白癬の1例
  • ショウレイ ホウコク コウコルチゾール ケッショウ ニ カンレン シテ ハッショウ シタ ハンハツセイ ハクセン ノ 1レイ

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Abstract

<p>A 68-year-old woman presented with the chief complaint of diffuse alopecia on the head. The patient had a past history of hypercortisolemia. She developed diffuse alopecia three months before the first presentation. She considered the changes to be due to aging and underwent treatment for increasing hair volume one month prior to her visit. However, the condition worsened, and she finally came to our hospital. At the first examination, she had diffuse alopecia, hair loss tendency, and black spots on her entire head. Periodic acid-Schiff staining showed fungus body component in the hair follicles. Tinea lesions were also noted on her entire body. Based on the results of fungal culture and DNA sequencing, the patient was diagnosed with diffuse tinea caused by Trichophyton rubrum. The present case was diagnoses as diffuse tinea pedis due to impaired cellular immunity associated with hypercortisolemia. Diffuse tinea should be included in the differential diagnosis because it may be associated with endocrine disease.</p>

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