Wells syndrome is a distinct,ive dermatosis clinically resemblin, acute cellulitis with sudden onset and spontaneous resolution after weeks or months without residue. Recurrences over many years are common. I report a case of Wells syndrome in a 38-year-old women whc had developed pruritic erythematous plaque on the left lower abdomen since a few moriths ago. The blood eosinophil count, was 6,900/mm and a biopsy specimen taken from an erythematous plaque showed diffuse tissue eosinophilia and many flame figures in the lower dermis and subcutaneous fat tissue.
Abdomen ; Adult ; Biopsy ; Cellulitis ; Dermis ; Eosinophilia ; Eosinophils ; Female ; Humans ; Recurrence ; Skin Diseases ; Subcutaneous Fat

BACKGROUND: Because of concern about the infrequent occurre icc of tinea pedis tinea manus, we studied the incidence of them. OBJECTIVE: The purpose of the study was to investigate clinical and mycological features of tinea pedis tinea manus. MEHTODS: We reviewed outpatients with tinea pedis tinea minus at the Catholic Skin Disease Clinic from 1976 to 1991. RESULTS: The incidence was 0.08% out of 1,106,246 outpatients in tinea pedis, 0.02% in tinea manus. Interdigital lesions were the most common in tinea pedis. The ratio of male to female patients was 1.46: 1 in tinea pedis, 1.34:1 in tinea manus. The seasonaI pevalance was highest in summer. The species isolated were, in order of decreasing frequency, Trihohyton(T.) rubrum(89.9%), T. mentagrophytes(8.5%), Microgorum(M.) canis (1.6%) in tinea pedis, T. rubrum(77.8%), T. mentagrophytes(18.2%), M. Canis(2.0%), Epidermophyton(E.) floccosam(2.0% in tinea manus. CONCLUSION: We find that, the incidence of tinea pedis has been inc easing in recent years.
Child* ; Female ; Humans ; Incidence ; Male ; Outpatients ; Skin Diseases ; Tinea Pedis* ; Tinea*

BACKGROUND: Despite concern about treatment of sporotrichosis, little is known about the sensitivity of S. schenckii against antifungal agents. OBJECTIVE: The purpose of the study was to investigate minimal irihibitory concentration(MIC) of antifungal agents against S.chenckii. METHOD: The tested strains were seven in number. The tested antifngal agents were ketoconazole, itraconazole, amphotericin B, and potassium iodide. A various concentration of drugs were mixed into fluid media containing 50% ethanol, dimethyl sulfoxide, and distilled water. The inoculum consisted of 3mm block containing hyphae and spores. RESULTS: MIC ranges of ket.oconazole, itraconazole, amphotericin B, and potassium iodide were 0.39- 25pg/ml, 0.78-25pg/ml, 0.78-25pg/ml, and 75-550pg/ml, respectively. CONCLUSION: We find that ketoconazole is the most active drug against S. schenckii.
Amphotericin B ; Antifungal Agents* ; Dimethyl Sulfoxide ; Ethanol ; Hyphae ; Itraconazole ; Ketoconazole ; Potassium Iodide ; Spores ; Sporothrix* ; Sporotrichosis ; Water

No abstract available.
Dermatitis, Contact*

BACKGROUND: Because of the differences in dermatophytoses by ographic distribution in Korea, we studied the incidence of dermatophytoses in the Kyongju area. OBJECTIVE: The purpose of the study was to investigate the recant clinical and mycological features of dermatophytoses in the Kyongju area. METHODS: We evaluated the clinical and mycological aspects flermatophytoses in 431 patients from September 1992 to August 1994 in the Kyongju area. RESULTS: 1) The incidence of dermatophytoses was 7.8% out of a total of 5,549 out patients. 2) The incidence of dermatophytoses was Tinea(T.) pedis (36%), T. unguium (30.2%), T. corporis (12.0%), T. cruris, (11.5%), T. manus (7.3%), T. faic (2.2%), T. capitis (0.6%) in order of decreasing frequency. 3) Among the age groups, the in idence rate was highest in the third decade (21.3%). 4) The ratio of male to female patients was 1.5: l.5) Coexisting fungal infections were found in 1 patients (41.0%), and the cases of T. pedis with T. unguium was the most common. 6) In dercimatophytoses, the positive rate of KOH mount examination was 95.7 %, and the positive rate of culture was 77.6%. 7) Trichophytone T. rubrum was the most common causative organism of dermatophytoses (91.8%), T. mentagrophages (4.3%), T. verrucosum (2,3%), Microsporum(M.) canis (1.0%), M. gypseum (0.3%). Epidermoplyte floccosum (0.3%), presenting in order of decreasing freqiency. CONCLUSION: We find that the incidence rate of T. veriosum infection & coexisting dermatophytosis in the Kyongju area are higher than previous studies in Korea
Female ; Gyeongsangbuk-do* ; Humans ; Incidence ; Korea ; Male ; Outpatients ; Tinea* ; Trichophyton

Eccrine chromhidrosis(colored sweating), resulting from the contamination of the sweat by dyes, pigment from microorganisms such as those of Piedraia or Corynebacterium, or other chernicals, is a very rare disease. We report a case of eccrine chromhidrosis which revealed dark-brown colored pigmented spots analyzed by energy dispersive X-ray microassay and scanning electron microscopy, which were thought to be composed of silver iodide(AgI) formed by the conjugation of silver components from outside and iodide components of eccrine sweat, on the face, postauricular area, legs, and finger tips.
Coloring Agents ; Corynebacterium ; Fingers ; Leg ; Microscopy, Electron, Scanning ; Rare Diseases ; Silver* ; Sweat

AFX is a fibrohistiocytic tumor which usually shows benign clinical rocess despite malignant histolgy. We report a case of AFX showing storiform pattern distribution of tumor cells which developed on the right temple area of a 70-year-old woman.
Adenoids* ; Aged ; Bowen's Disease* ; Carcinoma, Basal Cell* ; Female ; Humans

We report a case of kerion celsi caused by Trichophyton(T.) verrucosum in a 15-year-old male, who showed a trender, indurated, swollen, boggy mass exuding pus on the frontal scalp for 15 days. Culture from a scalp lesion of patient and infected cattles on Sabouraud dextrose agar showed T. verrucosum. Therapy was initiated on with 100mg of itraconazole daily with almost complete resolution of scalp lesion one month after treatment. During the one month follow up reriod, scalp lesion showed new black hairs and no recurrence.
Adolescent ; Agar ; Follow-Up Studies ; Glucose ; Hair ; Humans ; Itraconazole* ; Male ; Recurrence ; Scalp ; Suppuration ; Tinea Capitis ; Trichophyton*

BACKGROUND: Despite concern about prevention of dermatophytosis, little is known about the survival period of dermatophytes. OBJECTIVE: The purpose of the study was to investigate the survival period of dermatophytes according to various environmental conditions. METHODS: Scales for testing were collected from skin lesions of 25 patients with dermatophytosis. They were categorised into different treatment groups: kept scales themselves(S), scales in a humid condition(S+H), scales mixed with sterilized dusts(S+D), and scales mixed with sterilized dusts in a humid condition(S+D+H). They were then cultured on Sabouraud dextrose agar once a week until there was no colony growth. Data was evaluated with the Mann-Whitney U-test. RESULTS: 1) The mean survival period of Microsporum canis isolated from 5 patients with tinea(T.) capitis was 17.6(S+D+H), 16.6(S+D), 8.4(S+H) and 7 weeks(S). 2) The mean survival period of Trichophyton rubrum isolated from 20 patients of T. corporis, T. cruris, T. pedis & T. unguium was 11.8, 7.4, 9.4 and 12.2 weeks(S+D+H); 7.4, 6.8, 9.2 and 7.4 weeks(S+D); 6.6, 3.4, 8.0 and 10.4 weeks(S+H); 5.0, 2.8, 5.4, 8.2 weeks(S), respectively. CONCLUSION: We found that the survival period of dermatophytes was longest in scales mixed with sterilized dusts in a humid condition.
Agar ; Arthrodermataceae* ; Dust ; Glucose ; Humans ; Microsporum ; Skin ; Tinea ; Trichophyton ; Weights and Measures

BACKGROUND: There are prerequisites for fungal nail infection: fungal organism, susceptible host, and environments with damaged nail. OBJECTIVE: The purpose of this study was to evaluate the growth rate of the great toe nail in distal subungual onychomycosis(DSO). MATERIALS AND METHODS:: The subjects are 60 adult patients with DSO and 19 age- and sex-matched controls with tinea pedis but no DSO. The growth rate of the great toe nail was measured. Data were evaluated with Mann-Whitney U-test and regression analysis using the statistical program for PC. RESULTS: The growth rate of the patients group showed a decrease against that of the controls. The equation for expected nail growth rate of specific age and sex was as follows: the expected nail growth rate(mm/day) = 0.07382 + (0.01498 × G) - (0.00033 × Age) - (0.00669 × S): if a person has DSO, G is 1, and if he has no DSO, G is 2; if a person is male, S is 1, and, female, 2. CONCLUSION: Patients with DSO often have a decreased growth rate of the nail compared with that of the controls. The authors propose the equation of expected nail growth rate in persons with or without DSO, and think that the growth rate of the nail is one of factors in the pathogenesis of onychomycosis.
Adult ; Female ; Humans ; Male ; Onychomycosis* ; Tinea Pedis ; Toes*