| Pityriasis versicolor rubra. | |
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MedLine Citation:
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PMID: 11872414 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report six typical cases with pityriasis versicolor (PV) rubra, with a background of collagen diseases in five cases and none in one case. Two cases of systemic lupus erythematosus (SLE) and one case of systemic scleroderma (SSc) had both PV rubra and nigra on the trunk. Diagnosis of superficial infections of PV was made by microscopic examination of skin scrapings following KOH, and many small whitish colonies were obtained in Sabouraud's slant agar medium culture containing cycloheximide with olive oil in all cases. Malassezia sympodialis was isolated from the scales of two different lesions at a 6 week-interval in a same person (a 32 year-old male without SLE nor SSc) by the method of Makimura et al. [5], although the other five cases were not examined for the isolation. Histopathological features of the lesion on the dorsum of the trunk showed no epidermal hyperplasia without elongation of rete ridges and no inflammatory cell infiltration in the dermis, however there was only dilatation of small blood vessels in the dermis, which was reconfirmed capillaroscopically. In the horny layers, several yeastlike and fine filamentous structures were seen which were positive with PAS and Grocott stains. Both clinical and histological features led us to speculate PV rubra. All the patients were treated with anti-fungal ointment, and the lesions diminished in less than 2 weeks. No recurrence has been seen in any of the cases. This PV rubra may be independent from PV nigra, although Horiuchi [2] suggested the earlier lesion occurs in advance of PV alba or nigra. |
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Authors:
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Manubu Maeda; Koi Chi Makimura; Hideyo Yamaguchi |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: European journal of dermatology : EJD Volume: 12 ISSN: 1167-1122 ISO Abbreviation: Eur J Dermatol Publication Date: 2002 Mar-Apr |
Date Detail:
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Created Date: 2002-03-01 Completed Date: 2002-04-25 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9206420 Medline TA: Eur J Dermatol Country: France |
Other Details:
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Languages: eng Pagination: 160-4 Citation Subset: IM |
Affiliation:
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Department of Dermatology, Prefectural Gifu Hospital, 4-6-1 Noishiki, Gifu City, 500-8717, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Humans Lupus Erythematosus, Systemic / complications Malassezia / isolation & purification* Male Miconazole / analogs & derivatives*, therapeutic use Middle Aged Scleroderma, Systemic / complications Skin / microbiology Telangiectasis / etiology*, physiopathology Tinea Versicolor / complications, drug therapy, microbiology*, pathology |
| Chemical | |
Reg. No./Substance:
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22916-47-8/Miconazole; 27523-40-6/isoconazole |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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