摘要
目的通过对16例儿童毳毛内癣患者进行观察和分析,探讨其发病的相关因素、常见的致病菌,临床表现和有效的治疗方法。方法收集2014年4月～2015年7月来我院就诊的儿童毳毛内面癣患者,分析患者的一般资料、病史、治疗史和动物接触史等,皮损鳞屑培养并进行形态学鉴定和分子生物学鉴定。患者给予外用特比萘芬乳膏或联苯苄唑乳膏和（或）口服特比萘芬联合治疗。结果 16例患者中15例有动物接触史,14例有既往外用药物治疗史。致病菌鉴定结果为13例须癣毛癣菌、1例紫色毛癣菌、1例犬小孢子菌、1例未生长。16例患者经治疗后均达到临床和真菌学治愈。结论毳毛内面癣主要为接触动物引起,主要致病菌为须癣毛癣菌。及时有效地进行真菌学检查有助于毳毛内面癣的诊断。
Objective To investigate the 16 cases of tinea faciei of vellus hair in children,to explore the related factors of the incidence,common pathogenic fungi and effective treatment.Methods We collected 16 patients with tinea faciei of vellus hair from April 2014 to July 2015 and analyzed their basic informations,medicine histories and clinical characteristics and animal contact histories.The specimens of 16 cases were cultured and identificated.All the patients were given terbinafine cream or bifonazole gel and oral terbinafine combined treatment.Results Of the 16 patients,there were 15 cases of animal contact history,14 cases of previous treatment history.Fifteen strains of pathogens were isolated,including 13 Trichophyton mentagrophytes,1Trichophyton violaceum and 1 Microsporium canis.All the patients recovered well after treatment.Conclusion Contacting with infected pets was the significant risk factor to children with tinea faciei of vellus hair.The most commenly pathogenic fungus was Trichophyton mentagrophytes.Timely and effective mycological examination is helpful to diagnosis tinea facial of vellus hair.
出处
《中国真菌学杂志》
CSCD
2016年第2期95-98,共4页
Chinese Journal of Mycology
基金
江苏省临床医学科技专项(BL2012003)
关键词
面癣
儿童
毳毛
tinea faciei
children
vellus hair
