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Arch Dermatol. 2006;142:1059-1064.

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

Diagnosis: Tinea barbae.

MICROSCOPIC FINDINGS AND CLINICAL COURSE

Hematoxylin-eosin–stained sections showed thick scale-crust overlying an epidermis that contained numerous neutrophils. A sheetlike infiltrate of neutrophils admixed with mononuclear cells was present in the dermis. The hair follicles were dilated; numerous hyphae and spores surrounded the hair shaft (ectothrix); and there were organisms in the dermis. A periodic acid–Schiff (Figure 4) stain confirmed the presence of septate hyphae and spores within both the follicles and the dermis.

Figure appears in full text version. Figure 4.

The patient was initially started on a regimen of bacterial and fungal therapy consisting of clarithromycin (500 mg twice a day) and itraconazole (200 mg twice a day for 2 months, then once a day for the third month). The clarithromycin therapy was discontinued after 6 weeks. During the course of treatment, the patient was instructed to purchase disposable razors, which were to be used only once and then discarded. There was no evidence of infection at the . . . [Full Text of this Article]

DISCUSSION

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Arch Dermatol. 2006;142(8):1059-1064.
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