病例 1,女,2 岁,头皮、腹部、上肢丘疹、脓疱、结节伴痒半个月;病例 2,女,35 岁,右下颌丘疹、红斑 1 周,病例 2 为病例 1 的母亲.病例 1 断发、腹部、右上肢皮损和病例 2 皮损真菌镜检、培养及分子生物学测序均鉴定为万博节皮菌.病例1 密切接触过猫和兔.病例 1 诊断为万博节皮菌所致脓癣、体癣;病例 2 诊断为万博节皮菌所致体癣.病例 1 予口服醋酸泼尼松 2 周,口服特比萘芬 4 个月,渗出期用高锰酸钾溶液湿敷,酮康唑洗剂外用后外搽萘替芬酮康唑乳膏治愈;病例 2 予萘替芬酮康唑乳膏外搽治疗后痊愈.
Case 1 was a two-year-old girl with papules,pustules and nodules with itching on scalp,abdomen and upper limbs for half a month.Case 2 was a 35-year-old woman with papules and erythema on right mandible for 1 week.Case 2 is case1's mother.The pathogenic strains of them were identified as Arthroderma vanbreuseghemii.Case 1 had close contact with cat and rabbit.Diagnosis:①tinea suppurativa and tinea corporis due to Arthroderma vanbreuseghemii(case 1);②tin-ea corporis(case 2).The lesion of case 1 was cured by oral prednisone acetate tablets for two weeks,oral terbinafine for four months,exudate period with external application of potassium permanganate solution,and topical 1%naftifine/0.25%keto-conazole cream after after a topical wash with ketoconazole shampoo.Case-2 were cured after topical 1%naftifine/0.25%ke-toconazole cream.