2502
Views & Citations1502
Likes & Shares
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) [1]. A Corynebacterium species
was identified as reported previously [2]. We diagnosed the lesions as trichomycosis axillaris. It
has been suggested that the bacteria produce a cement-like substance that
adheres to the hair [3]. Predilection sites of trichomycosis axillaris are the axilla,
pubic area, scrotum and intergluteal region [2]. The main factors contributing
to the pathogenesis of trichomycosis axillaris
include obesity, hyperhidrosis, poor local hygiene and a moist environment
[4]. 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.
QUICK LINKS
- SUBMIT MANUSCRIPT
- RECOMMEND THE JOURNAL
-
SUBSCRIBE FOR ALERTS
RELATED JOURNALS
- Journal of Alcoholism Clinical Research
- Journal of Immunology Research and Therapy (ISSN:2472-727X)
- Ophthalmology Clinics and Research (ISSN:2638-115X)
- Oncology Clinics and Research (ISSN: 2643-055X)
- Journal of Clinical Trials and Research (ISSN:2637-7373)
- International Journal of Anaesthesia and Research (ISSN:2641-399X)
- Journal of Cardiology and Diagnostics Research (ISSN:2639-4634)