[Sycosis of the beard ( XXXX ). Analysis of 42 cases].

@entity1 @entity4013 @entity281 @entity364 @entity12736 @entity14476 @entity12734
42 @entity1 suffering from @entity364 involving the bearded area, face and neck ( @entity4013 ) were seen in the Clinic between 1970 and 1977. The clinical diagnosis was confirmed by microscopic examination (KOH) of skin and hair scrapings in all the @entity1 . The material obtained from 39 @entity1 and inoculated gave a positive culture; in were isolated and following fungi: @entity12734 -18, @entity12736 -16, @entity12734 -1, T. violaceum-2, @entity14476 -2. From the clinical point of veiw it was possible to classify the @entity1 in 3 main types: --Superficial type-11 @entity1 . --Kerion-10 @entity1 ( @entity12736 -9, @entity14476 -1). --Nodular type-deep seated nodules, without discharging, very slow evolution - 21 @entity1 ( @entity12736 -4, @entity12734 -13, @entity12734 -1, T. violaceum-1). It was obtained material for histology in 13 @entity1 : 3 suffering from kerion and 10 with the nodular clinical type. The histology of the Kerion type showed a marked inflammatory reaction consisting largely of neutrophils surrounding the hair follicles. Only in one examination, out of the 3 @entity1 studied with Kerion, showed fungi, on PAS. The 10 @entity1 suffering from the nodular type of @entity281 who were studied histologically showed a more or less uniform picture, which consisted in a more deep seated infiltration specially consisting of lymphocytes and plasmocytes, on the derme but not so perifollicular as in Kerion and, in 2 cases, there was a tendency to form a tuberculoid structure. The PAS was positive in 6 @entity1 . The fungi were always intrafollicular. All the @entity1 were treated with griseofulvin 1 gr. per day. All of them healed after a period of 4-8 weeks of treatment.
