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A Case Report of Widespread Majocchi’s Granuloma in a Patient with Systemic Lupus Erythematosus

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Abstract

Majocchi’s granuloma is an intracutaneous or subcutaneous granulomatous inflammation caused by invasion of dermatophytic fungus, especially Trichophyton rubrum. This type of lesion is misdiagnosed frequently without proper auxiliary examination. Here, we report a case of widespread Majocchi’s granuloma caused by T. rubrum in a 35-year-old woman with systemic lupus erythematosus for 9 years. The patient was initially misdiagnosed as SLE-associated skin lesions, which delayed her treatment and resulted in severe multiple disseminated lesions. After confirmed as Majocchi’s granuloma, the patient was cured after 11-month treatment with terbinafine.

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Acknowledgements

This work was kindly supported by the Guangdong province science and technology plan project (2013B021800141). The authors would like to thank Dr. Clayton Dyck in the Department of Family Medicine at the University of Manitoba for many useful comments and suggestions.

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Correspondence to Yongxuan Hu or Xianyi Zhou.

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The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this paper.

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Sitong Zhou and Yemei Yang contributed equally to this work.

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Zhou, S., Yang, Y., Liu, K. et al. A Case Report of Widespread Majocchi’s Granuloma in a Patient with Systemic Lupus Erythematosus. Mycopathologia 182, 577–581 (2017). https://doi.org/10.1007/s11046-017-0109-9

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