患者男,11岁。左肘上部皮肤红斑、丘疹伴鳞屑半年。皮肤科情况:左肘上部皮肤见5.0cm×4.0cm红斑块,其内散在色素减退斑,边缘散在米粒大小红丘疹及鳞屑。皮损组织病理示:真皮内见一化脓性毛囊炎,有多量中性粒细胞浸润,周边有肉芽肿性反应,毛囊内可见多数孢子样结构。诊断:Majocchi肉芽肿。治疗:伊曲康唑口服,联苯苄唑外用,8周后皮疹基本消退。 Patient male, 11 years old. Upper left elbow skin erythema, papules and scaly six months. Dermatology: upper left elbow see 5.0cm × 4.0cm erythema, which scattered in the pigment spots, the edge of scattered rice size red papules and scales. Histopathology showed lesions: dermal see a purulent folliculitis, there is a large number of neutrophil infiltration, granulomatous reaction around the hair follicles can be seen in most spore-like structures. Diagnosis: Majocchi granuloma. Treatment: Itraconazole orally, bifonazole topical, eight weeks after the basic subsided rash.