Ann Dermatol.  2004 Jun;16(2):64-66. 10.5021/ad.2004.16.2.64.

Erythema Nodosum Probably Induced by Kerion Celsi

• Park HS
• Lee UH
• Choi JC

• KMID: 2172113
• DOI: http://doi.org/10.5021/ad.2004.16.2.64

Abstract

A 6-year-old girl visited us with a 4-week history of inflammatory, pustular, tender patches and plaques on the scalp, and a 3-day history of multiple, erythematous, indurated, tender, subcutaneous nodules on both pretibial areas. A swab was taken from the scalp lesion and colonies of Tiichophyton mentagrophytes grew on culture. The histopathological findings of the leg nodule were consistent with erythema nodosum. The patient was treated with oral itraconazole and deflazacort, combined with topical potassium permanganate solution. Erythema nodosum regressed two weeks later and the kerion of the scalp regressed six weeks after starting the treatment, leaving residual scarring alopecia. The patient was diagnosed as erythema nodosum probably induced by kerion celsi, that has not been reported in the Korean literature.

Keyword

Erythema nodosum; Kerion celsi; Trichophyton mentagrophytes

MeSH Terms

Alopecia
Child
Cicatrix
Erythema Nodosum*
Erythema*
Female
Humans
Itraconazole
Leg
Potassium Permanganate
Scalp
Tinea Capitis*
Itraconazole
Potassium Permanganate