Portal de Periódicos da CAPES

Tinea Barbae: Man and Beast

1998; Massachusetts Medical Society; Volume: 338; Issue: 11 Linguagem: Inglês

10.1056/nejm199803123381106

1533-4406

Dee Anna Glaser, Anne T. Riordan,

Infectious Diseases and Mycology

Figure 1 A 23-year-old brick mason presented with a three-month history of a boggy, crusted nodule on his upper lip (Panel A). Areas of alopecia and pustules were noted within the lesion. The man owned a bull mastiff, which also had alopecia on his snout that had begun approximately five months previously (Panel B). The patient recalled being nipped on the upper lip by his dog about five months earlier. Culture of the man's lesion revealed a buff-colored powdery colony, with growth within 7 to 10 days (Panel C). Microscopical examination revealed spiral, coiled hyphae and microconidia that were arranged in grape-like clusters (Panel D; lactophenol cotton blue, ×40) and were identified as Trichophyton mentagrophytes variant mentagrophytes. The patient was treated with 200 mg of ketoconazole orally twice a day for one month, and his dog was referred to a veterinarian for treatment of its dermatophyte infection. Neither the patient nor the dog returned for follow-up. Figure 1 A 23-year-old brick mason presented with a three-month history of a boggy, crusted nodule on his upper lip (Panel A). Areas of alopecia and pustules were noted within the lesion. The man owned a bull mastiff, which also had alopecia on his snout that had begun approximately five months previously (Panel B). The patient recalled being nipped on the upper lip by his dog about five months earlier. Culture of the man's lesion revealed a buff-colored powdery colony, with growth within 7 to 10 days (Panel C). Microscopical examination revealed spiral, coiled hyphae and microconidia that were arranged in grape-like clusters (Panel D; lactophenol cotton blue, ×40) and were identified as Trichophyton mentagrophytes variant mentagrophytes. The patient was treated with 200 mg of ketoconazole orally twice a day for one month, and his dog was referred to a veterinarian for treatment of its dermatophyte infection. Neither the patient nor the dog returned for follow-up. Dee Anna Glaser, M.D.Anne T. Riordan, M.D.St. Louis University, St. Louis, MO 63104