This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

RONALD D. REYNOLDS, MD
New Richmond Family Practice 1050 Old US 52 New Richmond, OH 45157

SUSAN BOIKO, MD
Department of Dermatology University of Cincinnati College of Medicine Cincinnati, OH 45267

ANNE W. LUCKY, MD
Dermatology Clinic Childrens Hospital Medical Center Cincinnati, OH 45267

Am J Dis Child. 1991;145(11):1224-1225.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Sir.—An 8-year-old girl with tinea corporis of the knee was treated with a combination product of 1% clotrimazole and 0.05% betamethasone diproprionate cream (Lotrisone). She had a prolonged course, with persistent pustules and inflammation that permanently scarred her knee. The histologic appearance was that of a Majocchi's granuloma, a fungal dermal abscess similar to a kerion. We postulate that the cause was local immunosuppression by the fluorinated steroid in this cream.

Patient Report.—Eleven weeks before presentation, an 8-year-old girl had played in a barn in which many cats made their home. Nine weeks before presentation, she developed an erythematous, ring-shaped, scaly lesion on her right knee, diagnosed by her family physician as "ringworm." A combination cream containing 1% clotrimazole and 0.05% betamethasone diproprionate was prescribed to be applied twice daily until the lesion resolved.

The cream was faithfully applied without occlusion for 9 weeks, but instead of . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?