EVOLUTION OF AN EXTENSIVE SUPERFICIAL DER MATOPHYTOSIS TO A DEEP DERMATOPHYTOSIS

The authors report the case of a fourty-five-years-old woman who compl ains since her childhood of an extensive superficial dermatophytosis. Mycologic exams showed Trichophyton violaceum. Immunologic tests showe d cellular immunodeficiency. Therapeutic attempts including griseofulv in, ketoconazole and itraconazole failed to avoid the evolution to dee p dermatophytosis. Indeed, in 1994, nodular lesions appeared in axilla r folds. Histologic exams showed mycotic granuloma. There is no majora tion of the immunodeficiency-state. A therapeutic assay with terbinafi ne is Started since November 1994.