1144Views & Citations
A 33-year-old man who had a 14-year history of systemic lupus erythematosus (SLE) was referred to us with texture change of axillary hairs for 6 years. He had been receiving 10 mg daily of oral corticosteroids andmizoribine, but the patient had never been obese. Clinical examination revealed pale yellow concretions sticking to the hair shafts (Fig.1a, b) . A Corynebacterium species was identified as reported previously . We diagnosed the lesions as trichomycosis axillaris. It has been suggested that the bacteria produce a cement-like substance that adheres to the hair . Predilection sites of trichomycosis axillaris are the axilla, pubic area, scrotum and intergluteal region . The main factors contributing to the pathogenesis of trichomycosis axillaris include obesity, hyperhidrosis, poor local hygiene and a moist environment . Since our patient did not have these typical causes, clinicians should pay attention to such rare infectious complications in patients with SLE receiving immunosuppressive therapies.
1. Salim G Zahra MF (2014) Trichobacteriosis: contribution of dermoscopy. Dermatol Online J 20(9).
2. Bonifaz A, et al. (2013) Trichomycosis (trichobacteriosis): clinical and microbiological experience with 56 cases. Int J Trichology 5(1): 12-16.
3. Shelley WB, Miller MA (1984) Electron microscopy, histochemistry, and microbiology of bacterial adhesion in trichomycosis axillaris. J Am Acad Dermatol 10(6): 1005-1014.
4. Ma DL, Vano-Galvan S (2013) Images in clinical medicine. Trichomycosis axillaris. N Engl J Med 369(18): 1735.
- International Journal of Anaesthesia and Research (ISSN:2641-399X)
- Journal of Cell Signaling & Damage-Associated Molecular Patterns
- Stem Cell Research and Therapeutics (ISSN:2474-4646)
- Journal of Renal Transplantation Science (ISSN:2640-0847)
- International Journal of Surgery and Invasive Procedures (ISSN:2640-0820)
- Oncology Clinics and Research (ISSN: 2643-055X)
- International Journal of AIDS (ISSN: 2644-3023)