Chinese Journal of Dermatology ›› 2025, Vol. 58 ›› Issue (12): 1099-1111.doi: 10.35541/cjd.20250438
• Guidelines and Consensus • Previous Articles Next Articles
Mycology Group of Chinese Dermatovenerology Society of Integrative Medicine; Infection Group of Chinese Preventive Medicine Association Professional Committee on Prevention and Control of Dermatology and Sexually Transmitted Diseases; Clinical Working Group on Uncommon Types of Dermatophytoses in China
Received:2025-08-12
Revised:2025-10-06
Online:2025-12-15
Published:2025-12-04
Contact:
Li Xiaofang; Zhu Min; Cao Cunwei; Li Ruoyu; Liu Weida
E-mail:lxf3568@163.com; juneminmyco@126.com; caocunwei@yeah.net; mycolab@126.com; liuwd@pumcderm.cams.cn
Supported by:Mycology Group of Chinese Dermatovenerology Society of Integrative Medicine, Infection Group of Chinese Preventive Medicine Association Professional Committee on Prevention and Control of Dermatology and Sexually Transmitted Diseases, Clinical Working Group on Uncommon Types of Dermatophytoses in China. Chinese expert consensus on the diagnosis and management of uncommon types of dermatophytoses (2025 edition)[J]. Chinese Journal of Dermatology, 2025, 58(12): 1099-1111.doi:10.35541/cjd.20250438
| [1] | Kovitwanichkanont T, Chong AH. Superficial fungal infections[J]. Aust J Gen Pract, 2019,48(10):706⁃711. doi: 10.31128/AJGP⁃05⁃19⁃4930. |
| [2] | de Hoog GS, Dukik K, Monod M, et al. Toward a novel multilocus phylogenetic taxonomy for the dermatophytes[J]. Mycopathologia, 2017,182(1⁃2):5⁃31. doi: 10.1007/s11046⁃016⁃0073⁃9. |
| [3] | Song G, Zhang M, Liu W, et al. Changing face of epidemiology of dermatophytoses in Chinese Mainland: a 30 years nationwide retrospective study from 1991 to 2020[J]. Mycoses, 2022,65(4):440⁃448. doi: 10.1111/myc.13425. |
| [4] | Chen M, Xu Y, Hong N, et al. Epidemiology of fungal infections in China[J]. Front Med, 2018,12(1):58⁃75. doi: 10.1007/s11684⁃017⁃0601⁃0. |
| [5] | Sharma B, Nonzom S. Superficial mycoses, a matter of concern: global and Indian scenario⁃an updated analysis[J]. Mycoses, 2021,64(8):890⁃908. doi: 10.1111/myc.13264. |
| [6] | Liang G, Zheng X, Song G, et al. Adult tinea capitis in China: a retrospective analysis from 2000 to 2019[J]. Mycoses, 2020,63(8):876⁃888. doi: 10.1111/myc.13102. |
| [7] | Song G, Zhang M, Kong X, et al. Tinea capitis in children younger than two years old: a retrospective study and treatment recommendations[J]. Mycopathologia, 2023,188(5):461⁃478. doi: 10.1007/s11046⁃022⁃00703⁃z. |
| [8] | Song G, Zhang M, Liu W, et al. Children onychomycosis, a neglected dermatophytosis: a retrospective study of epidemiology and treatment[J]. Mycoses, 2023,66(5):448⁃454. doi: 10.1111/myc.13571. |
| [9] | 宋歌, 梁官钊, 张美洁, 等. 毳毛癣的临床诊治进展[J]. 中华皮肤科杂志, 2021,54(8):741⁃743. doi: 10.35541/cjd.20191026. |
| [10] | Si Z, Bai J, Wei L, et al. Clinical features and skin microbiome of tinea scrotum: an observational study of 113 cases in China[J]. Mycopathologia, 2023,188(3):203⁃210. doi: 10.1007/s11046⁃023⁃00712⁃6. |
| [11] | Xie W, Kong X, Zheng H, et al. Rapid emergence of recalcitrant dermatophytosis caused by a cluster of multidrug⁃resistant Trichophyton indotineae in China[J]. Br J Dermatol, 2024,190(4):585⁃587. doi: 10.1093/bjd/ljae009. |
| [12] | Wang R, Huang C, Zhang Y, et al. Invasive dermatophyte infection: a systematic review[J]. Mycoses, 2021,64(4):340⁃348. doi: 10.1111/myc.13212. |
| [13] | Cammarata E, Cristo ND, Airoldi C, et al. Trichophyton erinacei infection in humans: a case report and a literature review[J]. J Dtsch Dermatol Ges, 2024,22(10):1337⁃1342. doi: 10.1111/ddg.15463. |
| [14] | 中国中西医结合学会皮肤性病专业委员会真菌学组, 中国医师协会皮肤科分会真菌亚专业委员会, 中华医学会皮肤病学分会真菌学组. 手癣和足癣诊疗指南(2017修订版)[J]. 中国真菌学杂志, 2017,12(6):321⁃324. doi: 10.3969/j.issn.1673⁃3827.2017.06.001. |
| [15] | 中国头癣诊疗指南工作组. 中国头癣诊断和治疗指南(2018修订版)[J]. 中国真菌学杂志, 2019,14(1):4⁃6. doi: 10.3969/j.issn.1673⁃3827.2019.01.002. |
| [16] | 中国体癣和股癣诊疗指南工作组. 中国体癣和股癣诊疗指南(2018修订版)[J]. 中国真菌学杂志, 2019,14(1):1⁃3. doi: 10.3969/j.issn.1673⁃3827.2019.01.001. |
| [17] | 甲真菌病指南专家工作组. 中国甲真菌病诊疗指南(2021年版)[J]. 中国真菌学杂志, 2022,17(1):1⁃7. doi: 10.3969/j.issn.1673⁃3827.2022.01.001. |
| [18] | Chen X, Zheng D, Xiao Y, et al. Aetiology of tinea capitis in China: a multicentre prospective study[J]. Br J Dermatol, 2022,186(4):705⁃712. doi: 10.1111/bjd.20875. |
| [19] | Jin Y, Geng C, Blechert O, et al. Neglected adult tinea capitis in south China: a retrospective study in Nanchang, Jiangxi Province, from 2007 to 2021[J]. Mycopathologia, 2023,188(5):497⁃505. doi: 10.1007/s11046⁃023⁃00736⁃y. |
| [20] | Lova⁃Navarro M, Gómez⁃Moyano E, Pilar LM, et al. Tinea capitis in adults in southern Spain. A 17⁃year epidemiological study[J]. Rev Iberoam Micol, 2016,33(2):110⁃113. doi: 10.1016/j.riam.2015.02.007. |
| [21] | Aharaz A, Jemec GBE, Hay RJ, et al. Tinea capitis asymptomatic carriers: what is the evidence behind treatment?[J]. J Eur Acad Dermatol Venereol, 2021,35(11):2199⁃2207. doi: 10.1111/jdv.17462. |
| [22] | Xie W, Chen Y, Liu W, et al. Seborrheic dermatitis⁃like adult tinea capitis due to Trichophyton rubrum in an elderly man[J]. Med Mycol Case Rep, 2023,41:16⁃19. doi: 10.1016/j.mmcr. 2023.06.001. |
| [23] | Zheng Y, Zhou X, Luo J, et al. Adult black dot tinea capitis caused by Trichophyton tonsurans complicated with herpes zoster[J]. Chin Med J (Engl), 2020,133(1):91⁃93. doi: 10.1097/CM9.0000000000000567. |
| [24] | Ye Q, Luo Y, Zhou X, et al. Adult kerion celsi caused by Trichophyton tonsurans secondary to black dot tinea capitis[J]. Mycopathologia, 2023,188(5):589⁃591. doi: 10.1007/s11046⁃022⁃00701⁃1. |
| [25] | Wang X, Liu Z. Adult inflammatory tinea capitis presenting as diffuse pustular type[J]. Mycopathologia, 2023,188(5):581⁃583. doi: 10.1007/s11046⁃022⁃00680⁃3. |
| [26] | Xia X, Zhi H, Liu Z. Revival of generalized favus[J]. Int J Infect Dis, 2022,122:112⁃114. doi: 10.1016/j.ijid.2022.05.053. |
| [27] | Lacarrubba F, Verzì AE, Micali G. Newly described features resulting from high⁃magnification dermoscopy of tinea capitis[J]. JAMA Dermatol, 2015,151(3):308⁃310. doi: 10.1001/jamadermatol.2014.3313. |
| [28] | Sharma MK, Gupta S, Kumar R, et al. A clinico⁃epidemiological study of scalp hair loss in children (0⁃18 Years) in Kota Region, South⁃East Rajasthan[J]. Indian J Dermatol, 2019,64(4):285⁃291. doi: 10.4103/ijd.IJD_393_17. |
| [29] | Zaraa I, Hawilo A, Trojjet S, et al. Letter: tinea capitis in infants in their first 2 years of life: a 12⁃year study and a review of the literature[J]. Dermatol Online J, 2012,18(7):16. |
| [30] | Zhou YB, Chao JJ, Xiao YY, et al. High⁃dose oral terbinafine in the treatment of pediatric tinea capitis under 2 years old[J]. Dermatol Ther, 2022,35(4):e15320. doi: 10.1111/dth.15320. |
| [31] | Yao Q, Zhi H, Xia X, et al. The role of ingrown hairs in persistent kerion of children: a clinical study[J]. J Dermatol, 2025,52(1):35⁃42. doi: 10.1111/1346⁃8138.17523. |
| [32] | Aleohin N, Bar J, Bar⁃Ilan E, et al. Laboratory monitoring during antifungal treatment of paediatric tinea capitis[J]. Mycoses, 2021,64(2):157⁃161. doi: 10.1111/myc.13197. |
| [33] | Chen S, Sun K, Feng X, et al. Efficacy and safety of itraconazole use in infants[J]. World J Pediatr, 2016,12(4):399⁃407. doi: 10.1007/s12519⁃016⁃0034⁃x. |
| [34] | Devliotou⁃Panagiotidou D, Koussidou⁃Eremondi TH. Efficacy and tolerability of 8 weeks' treatment with terbinafine in children with tinea capitis caused by Microsporum canis: a comparison of three doses[J]. J Eur Acad Dermatol Venereol, 2004,18(2):155⁃159. doi: 10.1111/j.1468⁃3083.2004.00854.x. |
| [35] | Xiao YY, Zhou YB, Chao JJ, et al. Successful treatment of tinea capitis caused by Microsporum canis in a 23⁃day⁃old newborn with itraconazole pulse therapy and a review of the literature[J]. Dermatol Ther, 2021,34(5):e15078. doi: 10.1111/dth.15078. |
| [36] | Binder B, Richtig E, Weger W, et al. Tinea capitis in early infancy treated with itraconazole: a pilot study[J]. J Eur Acad Dermatol Venereol, 2009,23(10):1161⁃1163. doi: 10.1111/j. 1468⁃3083.2009.03271.x. |
| [37] | Michaels BD, Rosso JQD. Tinea capitis in infants: recognition, evaluation, and management suggestions[J]. J Clin Aesthet Dermatol, 2012,5(2):49⁃59. |
| [38] | Zampella JG, Kwatra SG, Blanck J, et al. Tinea in tots: cases and literature review of oral antifungal treatment of tinea capitis in children under 2 years of age[J]. J Pediatr, 2017,183:12⁃18.e3. doi: 10.1016/j.jpeds.2016.12.042. |
| [39] | Mapelli ETM, Borghi E, Cerri A, et al. Tinea corporis due to Trichophyton rubrum in a woman and tinea capitis in her 15⁃day⁃old baby: molecular evidence of vertical transmission[J]. Mycopathologia, 2012,173(2⁃3):135⁃138. doi: 10.1007/s11046⁃011⁃9492⁃9. |
| [40] | 闫玮, 符美华, 梅嬛, 等. 儿童毳毛内癣16例[J]. 中国真菌学杂志, 2016,11(2):4. doi: 10.3969/j.issn.1673⁃3827.2016.02. 007. |
| [41] | Aspiroz C, Melcon B, Cerro PA, et al. Tinea capitis caused by Microsporum canis treated with methyl⁃aminolevulinate daylight photodynamic therapy and ketoconazole shampooing[J]. Photodermatol Photoimmunol Photomed, 2021,37(6):567⁃568. doi: 10.1111/phpp.12706. |
| [42] | Rodríguez⁃Pazos L, Pereiro⁃Ferreirós MM, Pereiro M, et al. Onychomycosis observed in children over a 20⁃year period[J]. Mycoses, 2011,54(5):450⁃453. doi: 10.1111/j.1439⁃0507.2010. 01878.x. |
| [43] | Gulgun M, Balci E, Karaoglu A, et al. Prevalence and risk factors of onychomycosis in primary school children living in rural and urban areas in Central Anatolia of Turkey[J]. Indian J Dermatol Venereol Leprol, 2013,79(6):777⁃782. doi: 10.4103/0378⁃6323.120724. |
| [44] | Song G, Zhang M, Liu W, et al. Epidemiology of onychomycosis in Chinese Mainland: a 30⁃year retrospective study[J]. Mycopathologia, 2022,187(4):323⁃331. doi: 10.1007/s11046⁃022⁃00647⁃4. |
| [45] | Evrard S, Minon C, Laarif ML, et al. New diagnostic strategy for onychomycosis: first⁃line utilization of DermaGenius® PCR and calcofluor microscopy combined with selective culturing[J]. J Fungi (Basel), 2024,10(8)doi: 10.3390/jof10080515. |
| [46] | Li DG, Mostaghimi A. Utility of baseline transaminase monitoring during systemic terbinafine therapy for pediatric Onychomycosis[J]. JAMA Dermatol, 2018,154(5):626⁃627. doi: 10.1001/jamadermatol.2018.0094. |
| [47] | Eichenfield LF, Elewski B, Sugarman JL, et al. Efinaconazole 10% topical solution for the treatment of onychomycosis in pediatric patients: open⁃label phase 4 study[J]. J Am Acad Dermatol, 2021,84(4):1140⁃1142. doi: 10.1016/j.jaad.2020.06. 1004. |
| [48] | Patel D, Castelo⁃Soccio LA, Rubin AI, et al. Laboratory monitoring during systemic terbinafine therapy for pediatric Onychomycosis[J]. JAMA Dermatol, 2017,153(12):1326⁃1327. doi: 10.1001/jamadermatol.2017.4483. |
| [49] | Heikkilä H, Stubb S. Onychomycosis in children: treatment results of forty⁃seven patients[J]. Acta Derm Venereol, 2002,82(6):484⁃485. doi: 10.1080/000155502762064764. |
| [50] | Chen X, Jiang X, Yang M, et al. Systemic antifungal therapy for tinea capitis in children: an abridged Cochrane review[J]. J Am Acad Dermatol, 2017,76(2):368⁃374. doi: 10.1016/j.jaad. 2016.08.061. |
| [51] | Gupta AK, Mays RR, Versteeg SG, et al. Onychomycosis in children: safety and efficacy of antifungal agents[J]. Pediatr Dermatol, 2018,35(5):552⁃559. doi: 10.1111/pde.13561. |
| [52] | Zhou X, Liu W, Li M, et al. Aetiology of tinea of vellus hair and substrate specificity in Microsporum species[J]. Mycoses, 2024,67(2):e13698. doi: 10.1111/myc.13698. |
| [53] | Wei F, Liang G, Liu W, et al. Erythema multiforme associated with tinea of vellus hair caused by Microsporum canis[J]. Mycopathologia, 2020,185(1):201⁃203. doi: 10.1007/s11046⁃019⁃00409⁃9. |
| [54] | Song G, Liang G, Liu W. Tinea of vellus hair caused by Trichophyton violaceum in a child: a case report[J]. Int J Dermatol Venereol, 2020,07(1): 58⁃59. doi: doi:10.1097/JD9.0000000000000077. |
| [55] | Zhi H, Xia X, Shen H, et al. Trichoscopy for early diagnosis and follow⁃up of pet⁃related neonatal tinea capitis[J]. Mycopathologia, 2023,188(1):1. doi: 10.1007/s11046⁃023⁃00709⁃1. |
| [56] | Eksomtramage T, Aiempanakit K. Tinea of vellus hair: a diagnostic and therapeutic challenge[J]. BMJ Case Rep, 2018,2018. doi: 10.1136/bcr⁃2017⁃223678. |
| [57] | Hay RJ. Tinea capitis: current status[J]. Mycopathologia, 2017,182(1⁃2):87⁃93. doi: 10.1007/s11046⁃016⁃0058⁃8. |
| [58] | Gómez⁃Moyano E, Crespo⁃Erchiga V. Tinea of vellus hair: an indication for systemic antifungal therapy[J]. Br J Dermatol, 2010,163(3):603⁃606. doi: 10.1111/j.1365⁃2133.2010.09811.x. |
| [59] | Tang J, Ran Y. Polarized and ultraviolet dermoscopy for the diagnosis of dermatophytosis of vellus hair[J]. Indian J Dermatol Venereol Leprol, 2020,86(5):607. doi: 10.4103/ijdvl.IJDVL_65_19. |
| [60] | Gómez⁃Moyano E, Erchiga VC, Pilar LM, et al. Using dermoscopy to detect tinea of vellus hair[J]. Br J Dermatol, 2016,174(3):636⁃638. doi: 10.1111/bjd.14085. |
| [61] | Zhi H, Xia X, Liu Z. Combination dermoscopy for initiation and monitoring of systemic antifungal therapy for paediatric tinea faciei with invasion of vellus hair owing to Microsporum canis[J]. Clin Exp Dermatol, 2023,48(3):249⁃250. doi: 10.1093/ced/llac087. |
| [62] | Li J, Li Y, Liu X, et al. Pseudomembranous⁃like tinea of the scrotum: two cases[J]. Eur J Dermatol, 2013,23(3):416⁃417. doi: 10.1684/ejd.2013.2061. |
| [63] | Tan H, Lan X, Zhou C, et al. Pseudomembranous⁃like tinea of the scrotum infected by Microsporum gypseum in a young man[J]. Indian J Dermatol, 2015,60(4):422. doi: 10.4103/0019⁃5154.160531. |
| [64] | Lu S, Xi L, Zhang J, et al. Pseudomembranous⁃like tinea of the scrotum: report of six cases[J]. Mycoses, 2009,52(3):282⁃284. doi: 10.1111/j.1439⁃0507.2008.01557.x. |
| [65] | Chen Z, Bi X, Gu J, et al. White paint dot⁃like lesions of the scrotum: Microsporum gypseum infection[J]. Australas J Dermatol, 2013,54(4):e95⁃96. doi: 10.1111/j.1440⁃0960.2012. 00954.x. |
| [66] | Verma SB, Vasani R. Male genital dermatophytosis ⁃ clinical features and the effects of the misuse of topical steroids and steroid combinations ⁃ an alarming problem in India[J]. Mycoses, 2016,59(10):606⁃614. doi: 10.1111/myc.12503. |
| [67] | Aridogan IA, Izol V, Ilkit M. Superficial fungal infections of the male genitalia: a review[J]. Crit Rev Microbiol, 2011,37(3):237⁃244. doi: 10.3109/1040841X.2011.572862. |
| [68] | Yin S, Xie X, Li M, et al. Prevalence of low inflammatory tinea genitalis in southern China[J]. Mycoses, 2019,62(3):284⁃290. doi: 10.1111/myc.12859. |
| [69] | Xia X, Zhang Y, Zhong Y, et al. Novel in vivo observations of scrotal Nannizzia gypsea infection[J]. Br J Dermatol, 2018,179(2):499⁃501. doi: 10.1111/bjd.16474. |
| [70] | Luchsinger I, Bosshard PP, Kasper RS, et al. Tinea genitalis: a new entity of sexually transmitted infection? Case series and review of the literature[J]. Sex Transm Infect, 2015,91(7):493⁃496. doi: 10.1136/sextrans⁃2015⁃052036. |
| [71] | Kupsch C, Czaika V, Deutsch C, et al. Trichophyton mentagrophytes ⁃ a new genotype of zoophilic dermatophyte causes sexually transmitted infections[J]. J Dtsch Dermatol Ges, 2019,17(5):493⁃501. doi: 10.1111/ddg.13776. |
| [72] | Zucker J, Caplan AS, Gunaratne SH, et al. Notes from the field: Trichophyton mentagrophytes genotype Ⅶ ⁃ New York City, April⁃July 2024[J]. MMWR Morb Mortal Wkly Rep, 2024,73(43):985⁃988. doi: 10.15585/mmwr.mm7343a5. |
| [73] | Jia S, Long X, Hu W, et al. The epidemic of the multiresistant dermatophyte Trichophyton indotineae has reached China[J]. Front Immunol, 2022,13:1113065. doi: 10.3389/fimmu.2022. 1113065. |
| [74] | Nikkholgh S, Pchelin IM, Mahmoudabadi AZ, et al. Sheep serve as a reservoir of Trichophyton mentagrophytes genotype V infection[J]. Med Mycol, 2023,61(7). doi: 10.1093/mmy/myad066. |
| [75] | Zhang Y, Luo W, Tang C, et al. Possible rabbit breeders' Trichophyton mentagrophytes infection characterized by Majocchi's granuloma in immunocompetent host: case report[J]. Med Mycol Case Rep, 2019,26:19⁃22. doi: 10.1016/j.mmcr. 2019.09.007. |
| [76] | Zhang Y, Xie W, Liu W, et al. Epidemiological and clinical profile analysis of Trichophyton mentagrophytes ITS genotype Ⅶ infected dermatomycosis: an emerging sexually transmitted pathogen[J]. Mycoses, 2025,68(6):e70075. doi: 10.1111/myc. 70075. |
| [77] | Nenoff P, Verma SB, Vasani R, et al. The current Indian epidemic of superficial dermatophytosis due to Trichophyton mentagrophytes⁃a molecular study[J]. Mycoses, 2019,62(4):336⁃356. doi: 10.1111/myc.12878. |
| [78] | Kong X, Xie W, Fu M, et al. Antifungal resistance of the Trichophyton mentagrophytes/Trichophyton interdigitale species complex: insights from the China Antifungal Resistance Dermatophytes Surveillance network Study (CARDS) [J/OL]. J Eur Acad Dermatol Venereol, 2025(2025⁃05⁃24)[2025⁃11⁃17]. https://onlinelibrary.wiley.com/doi/10.1111/jdv.20752. doi: 10.1111/jdv.20752. [published online ahead of print]. |
| [79] | Müller VL, Kreuter A, Uhrlaß S, et al. Trichophyton mentagrophytes genotype Ⅶ increasingly causes anogenital infections[J]. Dermatologie (Heidelb), 2024,75(1):48⁃54. doi: 10.1007/s00105⁃023⁃05275⁃7. |
| [80] | Mancini N, Carletti S, Ghidoli N, et al. The era of molecular and other non⁃culture⁃based methods in diagnosis of sepsis[J]. Clin Microbiol Rev, 2010,23(1):235⁃251. doi: 10.1128/CMR.00043⁃09. |
| [81] | Kong X, Song G, Mei H, et al. The domestic isolation of terbinafine⁃ and itraconazole⁃resistant Trichophyton indotineae in Chinese Mainland[J]. Mycopathologia, 2023,188(4):383⁃393. doi: 10.1007/s11046⁃023⁃00761⁃x. |
| [82] | Ebert A, Monod M, Salamin K, et al. Alarming India⁃wide phenomenon of antifungal resistance in dermatophytes: a multicentre study[J]. Mycoses, 2020,63(7):717⁃728. doi: 10. 1111/myc.13091. |
| [83] | Gueneau R, Joannard B, Haddad N, et al. Extensive dermatophytosis caused by terbinafine⁃resistant Trichophyton indotineae, successfully treated with topical voriconazole[J]. Int J Antimicrob Agents, 2022,60(5⁃6):106677. doi: 10.1016/j.ijantimicag.2022.106677. |
| [84] | Yamada T, Maeda M, Nagai H, et al. Two different types of tandem sequences mediate the overexpression of TinCYP51B in azole⁃resistant Trichophyton indotineae[J]. Antimicrob Agents Chemother, 2023,67(11):e0093323. doi: 10.1128/aac.00933⁃23. |
| [85] | Burmester A, Hipler U, Elsner P, et al. Point mutations in the squalene epoxidase erg1 and sterol 14⁃α demethylase erg11 gene of T indotineae isolates indicate that the resistant mutant strains evolved independently[J]. Mycoses, 2022,65(1):97⁃102. doi: 10.1111/myc.13393. |
| [86] | Fattahi A, Shirvani F, Ayatollahi A, et al. Multidrug⁃resistant Trichophyton mentagrophytes genotype Ⅷ in an Iranian family with generalized dermatophytosis: report of four cases and review of literature[J]. Int J Dermatol, 2021,60(6):686⁃692. doi: 10.1111/ijd.15226. |
| [87] | Sacheli R, Egrek S, Moussaoui KE, et al. Evaluation of currently available laboratory methods to detect terbinafine resistant dermatophytes including a gradient strip for terbinafine, EUCAST microdilution E.Def 11.0, a commercial real⁃time PCR assay, squalene epoxidase sequencing and whole genome sequencing[J]. Mycoses, 2024,67(12):e70005. doi: 10.1111/myc.70005. |
| [88] | Liang G, Li X, Li R, et al. Chinese expert consensus on management of antifungal⁃resistant dermatophytoses (2024 edition)[J]. Mycoses, 2024,67(9):e13785. doi: 10.1111/myc. 13785. |
| [89] | 中国中西医结合学会皮肤性病学分会真菌学组, 中国耐药皮肤癣菌病诊治与防控工作组. 中国耐药皮肤癣菌感染诊治与防控专家共识(2024版)[J]. 中华皮肤科杂志, 2024,57(5):418⁃425. doi: 10.35541/cjd.20230718. |
| [90] | Tan J, Yu Q, Gao Z, et al. Case report: severe deep ulcer on the left abdomen mimicking mycosis fungoides caused by Trichophyton tonsurans in a patient with novel CARD9 mutation[J]. Front Immunol, 2022,13:1015000. doi: 10.3389/fimmu.2022. 1015000. |
| [91] | Rezusta A, Betrán A, Querol I, et al. Tinea capitis caused by Trichophyton soudanense and Microsporum audouinii in an adult: a case report[J]. Mycoses, 2011,54(1):89⁃90. doi: 10. 1111/j.1439⁃0507.2009.01749.x. |
| [92] | Martínez⁃Ortega JI, Cibrian AGR, Fernández⁃Reyna I, et al. Tinea capitis kerion type in three siblings caused by Nannizzia gypsea[J]. Cureus, 2024,16(3):e55485. doi: 10.7759/cureus. 55485. |
| [93] | Veraldi S, Genovese G, Peano A. Tinea corporis caused by Trichophyton equinum in a rider and review of the literature[J]. Infection, 2018,46(1):135⁃137. doi: 10.1007/s15010⁃017⁃1067⁃3. |
| [94] | Tan J, Liu X, Gao Z, et al. A case of tinea faciei caused by Trichophyton benhamiae: first report in China[J]. BMC Infect Dis, 2020,20(1):171. doi: 10.1186/s12879⁃020⁃4897⁃z. |
| [95] | Xia X, Yu W, Liu Z. Chronic tinea incognito caused by Nannizzia incurvata[J]. Mycopathologia, 2025,190(1):7. doi: 10.1007/s11046⁃024⁃00925⁃3. |
| [96] | Nenoff P, Overbeck C, Uhrlaß S, et al. Tinea corporis due to the rare geophilic dermatophyte Microsporum praecox[J]. Hautarzt, 2017,68(5):396⁃402. doi: 10.1007/s00105⁃016⁃3867⁃2. |
| [97] | Uhrlaß S, Mey S, Storch S, et al. Nannizzia incurvata as a rare cause of favus and tinea corporis in Cambodia and Vietnam[J]. Indian J Dermatol Venereol Leprol, 2021,87(4):515⁃521. doi: 10.4103/ijdvl.IJDVL_954_18. |
| [98] | Qiu F, Zhang C, Wang J, et al. Scrotal tinea caused by Nannizzia incurvata in two men using molecular identification[J]. J Eur Acad Dermatol Venereol, 2022,36(11):e957⁃e959. doi: 10.1111/jdv.18384. |
| [99] | Chen Q, Yang Q, Chen H, et al. Zoonotic fungus Arthroderma multifidum causing chronic pulmonary infection[J]. Int J Infect Dis, 2023,130:17⁃19. doi: 10.1016/j.ijid.2023.02.010. |
| [100] | Wollina U, Hansel G, Uhrlaß S, et al. Deep facial mycosis due to Trichophyton verrucosum⁃molecular genetic identification of the dermatophyte in paraffin⁃embedded tissue⁃case report and review of the literature[J]. Mycoses, 2018,61(3):152⁃158. doi: 10.1111/myc.12719. |
| [101] | Lanternier F, Pathan S, Vincent QB, et al. Deep dermatophytosis and inherited CARD9 deficiency[J]. N Engl J Med, 2013,369(18):1704⁃1714. doi: 10.1056/NEJMoa1208487. |
| [102] | Li N, Cai Q, Miao Q, et al. High⁃throughput metagenomics for identification of pathogens in the clinical settings[J]. Small Methods, 2021,5(1):2000792. doi: 10.1002/smtd.202000792. |
| [103] | Su H, Li L, Cheng B, et al. Trichophyton rubrum infection characterized by Majocchi's granuloma and deeper dermatophytosis: case report and review of published literature[J]. Mycopathologia, 2017,182(5⁃6):549⁃554. doi: 10.1007/s11046⁃016⁃0099⁃z. |
| [104] | Kimura U, Noguchi H, Matsumoto T, et al. Widespread Majocchi's granuloma caused by multidrug⁃resistant Trichophyton rubrum successfully treated with amphotericin B and posaconazole[J]. J Dermatol, 2025,52(7):1206⁃1209. doi: 10.1111/1346⁃8138.17771. |
| [105] | Gomez⁃Moyano E, Moreno⁃Suarez F, Martinez⁃Pilar L. Kerion of the pubis[J]. Infection, 2025,53(4):1491⁃1493. doi: 10.1007/ s15010⁃025⁃02518⁃8. |
| [106] | Liu HB, Liu F, Kong QT, et al. Successful treatment of refractory Majocchi's granuloma with voriconazole and review of published literature[J]. Mycopathologia, 2015,180(3⁃4):237⁃243. doi: 10.1007/s11046⁃015⁃9902⁃5. |
| [107] | Queiroz⁃Telles F, Mercier T, Maertens J, et al. Successful allogenic stem cell transplantation in patients with inherited CARD9 deficiency[J]. J Clin Immunol, 2019,39(5):462⁃469. doi: 10.1007/s10875⁃019⁃00662⁃z. |
| [108] | Durdu M, Kandemir H, Ilkit M, et al. Changing concepts and current definition of Majocchi's granuloma[J]. Mycopathologia, 2020,185(1):187⁃192. doi: 10.1007/s11046⁃019⁃00358⁃3. |
| [109] | Boral H, Durdu M, Ilkit M. Majocchi's granuloma: current perspectives[J]. Infect Drug Resist, 2018,11:751⁃760. doi: 10.2147/IDR.S145027. |
| [110] | Parmar NV, Asir GJ, Rudramurthy SM. Atypical presentation of Majocchi's granuloma in an immunocompetent host[J]. Am J Trop Med Hyg, 2017,96(1):1⁃2. doi: 10.4269/ajtmh.16⁃0493. |
| [111] | Zhao Y, Gan M, Li L, et al. Majocchi's granuloma: autoinoculation and adaption of Trichophyton rubrum with molecular evidence[J]. Mycoses, 2021,64(10):1272⁃1278. doi: 10.1111/myc.13337. |
| [112] | Marconi VC, Kradin R, Marty FM, et al. Disseminated dermatophytosis in a patient with hereditary hemochromatosis and hepatic cirrhosis: case report and review of the literature[J]. Med Mycol, 2010,48(3):518⁃527. doi: 10.3109/13693780 903213512. |
| [113] | Song Y, Wang X, Li Q, et al. Fatal dermatophytic pseudomycetoma in a patient with non⁃HIV CD4 lymphocytopenia[J]. Emerg Microbes Infect, 2023,12(1):2208685. doi: 10.1080/22221751.2023.2208685. |
| [114] | 王若珺, 李若瑜, 王爱平. 皮肤癣菌假足菌肿[J]. 中国真菌学杂志, 2019,14(2):120⁃123. doi: 10.3969/j.issn.1673⁃3827. 2019.02.014.. |
| [115] | Berg JC, Hamacher KL, Roberts GD. Pseudomycetoma caused by Microsporum canis in an immunosuppressed patient: a case report and review of the literature[J]. J Cutan Pathol, 2007,34(5):431⁃434. doi: 10.1111/j.1600⁃0560.2006.00628.x. |
| [116] | Tirado⁃González M, Ball E, Ruiz A, et al. Disseminated dermatophytic pseudomycetoma caused by Microsporum species[J]. Int J Dermatol, 2012,51(12):1478⁃1482. doi: 10.1111/j.1365⁃4632.2012.05550.x. |
| [117] | Burstein VL, Beccacece I, Guasconi L, et al. Skin immunity to dermatophytes: from experimental infection models to human disease[J]. Front Immunol, 2020,11:605644. doi: 10.3389/fimmu.2020.605644. |
| [118] | Kershenovich R, Sherman S, Reiter O, et al. A unique clinicopathological manifestation of fungal infection: a case series of deep dermatophytosis in immunosuppressed patients[J]. Am J Clin Dermatol, 2017,18(5):697⁃704. doi: 10.1007/s40257⁃017⁃0276⁃y. |
| [119] | Yun S, Lee S, Park J, et al. Deeper dermal dermatophytosis by Trichophyton rubrum infection mimicking Kaposi sarcoma[J]. Mycopathologia, 2022,187(5⁃6):611⁃612. doi: 10.1007/s11046⁃022⁃00655⁃4. |
| [120] | Rodríguez BG, Collar CG, Wang A, et al. Deep dermatophytosis caused by Trichophyton rubrum[J]. Med Clin (Barc), 2025,164(10):106886. doi: 10.1016/j.medcli.2024.11.019. |
| [1] | Jiang Qian, Hu Bin, Chen Yao, Chen Liuqing. Acquired facial hyperpigmented macules in children: a retrospective analysis of clinical and skin imaging features in 131 cases [J]. Chinese Journal of Dermatology, 2025, 58(9): 843-847. |
| [2] | Xu Zhongyi, Xing Xiaoxue, Dong Yaqi, Zhang Chengfeng, Xiang Leihong. Retrospective analysis of clinical manifestations and treatment outcomes in 254 patients with melasma in a tertiary grade-A hospital in Shanghai [J]. Chinese Journal of Dermatology, 2025, 58(9): 808-815. |
| [3] | Jiang Ziqi, Zhong Judan, Chen Tingqiao, Chen Jin. Pathogenesis and treatment of melasma [J]. Chinese Journal of Dermatology, 2025, 58(9): 868-872. |
| [4] | Zhong Jiemin, Li Wei, Zhang Shujuan, Yang Yan, Xue Rujun, Li Xinyi, Ke Yanan, Chen Xiaoyin, Chen Quan. Comparison of the efficacy and safety of nanomicroneedle- versus ultrasound-mediated delivery of tranexamic acid for the treatment of melasma: a randomized controlled study [J]. Chinese Journal of Dermatology, 2025, 58(9): 829-833. |
| [5] | Guliziba·Tuersun, Zhao Yanan, Wang Hongjuan, Kang Xiaojing, Qu Yuanyuan. Efficacy of autologous melanocyte transplantation combined with 308-nm light-emitting diode phototherapy at escalating doses in the treatment of refractory stable vitiligo: a clinical observation [J]. Chinese Journal of Dermatology, 2025, 58(9): 852-856. |
| [6] | Dai Yeqin, Song Xiuzu. Application of hair follicle transplantation and follicular cell suspension transplantation in the treatment of vitiligo [J]. Chinese Journal of Dermatology, 2025, 58(9): 882-885. |
| [7] | Zhou Miaoni, Sheng Anqi, Fu Lifang, Jin Rong, Xu Wen, Wei Xiaodong, Xu Ai′e . Efficacy and safety of an antioxidant gel containing tea polyphenols combined with narrow-band ultraviolet B in the treatment of vitiligo: a single-center randomized controlled trial [J]. Chinese Journal of Dermatology, 2025, 58(9): 834-838. |
| [8] | Zhan Jinshan, Xuan Xiuyun, Cao Juanmei, Chen Fangqi, Huang Changzheng. Progress in treatment of anti-melanoma differentiation-associated gene 5 antibody-positive dermatomyositis [J]. Chinese Journal of Dermatology, 2025, 58(8): 785-788. |
| [9] | Luo Shuaihantian, Long Hai, Lu Qianjin. Research advances in systemic lupus erythematosus in 2024 [J]. Chinese Journal of Dermatology, 2025, 58(8): 777-780. |
| [10] | Bai Qi, Zhu Mingfang, Wu Qingting, Ji Xiaotian, Yang Huiyi, Ma Liping, Zhou Jiaxin. Effect of sinomenine on skin lesions in 2,4-dinitrochlorobenzene-induced atopic dermatitis-like mouse models [J]. Chinese Journal of Dermatology, 2025, 58(8): 759-766. |
| [11] | Chinese Society of Dermatology, China Dermatologist Association. Expert consensus on the diagnosis and treatment of localized scleroderma (2025 edition) [J]. Chinese Journal of Dermatology, 2025, 58(8): 699-708. |
| [12] | Lin Jinran, Leong Hiochon, Liu Qingmei, Wu Wenyu. Androgenetic alopecia and metabolic syndrome: from mechanisms to treatment strategies [J]. Chinese Journal of Dermatology, 2025, 58(7): 591-594. |
| [13] | Wang Qin, Lin Jinran, Liu Qingmei, Wu Wenyu, . Oral minoxidil in the treatment of alopecia areata [J]. Chinese Journal of Dermatology, 2025, 58(7): 653-656. |
| [14] | Hair Research Group, Chinese Society of Dermatology. Chinese expert consensus on the diagnosis and treatment of lichen planopilaris/frontal fibrosing alopecia (2025 edition) [J]. Chinese Journal of Dermatology, 2025, 58(7): 583-590. |
| [15] | Li Yu, Wang Ziwei, Ye Rongjia, Li Rong, Zhu Yan, Zhang Xiaohua, Huang Dan, Ju Mei. Home-based phototherapy implementation and management needs in patients with vitiligo: a questionnaire survey analysis [J]. Chinese Journal of Dermatology, 2025, 58(7): 608-612. |
|