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Erythema nodosum induced by kerion celsi of the scalp in a woman
Author(s) -
Aldo Morrone,
Roberta Calcaterra,
Mariacarla Valenzano,
Raffaella Fazio,
Gennaro Franco
Publication year - 2011
Publication title -
mycoses
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.13
H-Index - 69
eISSN - 1439-0507
pISSN - 0933-7407
DOI - 10.1111/j.1439-0507.2009.01844.x
Subject(s) - scalp , erythema nodosum , terbinafine , medicine , erythema , dermatology , lesion , panniculitis , trichophyton , pathology , antifungal , itraconazole , disease
Summary A 35‐year‐old woman, with a 3‐week history of an enlarging erythematous, scaly plaque of the scalp vertex associated with the onset of some painful, subcutaneous nodules on her pretibial regions. Trichophyton mentagrophytes was isolated from the scalp lesion and the histological examination of one of the nodular lesions of the legs showed a septal panniculitis. The diagnosis of erythema nodosum (EN) induced by kerion celsi was made and the patient started therapy with oral terbinafine 250 mg per day for 4 weeks associated with naproxene per os 1 g per day for 2 weeks. Erythema nodosum is considered a reaction pattern to a wide variety of microbial and non‐microbial stimuli: dermatophytic infections are rarely associated with EN.