Angelo C, De Leo C, Conti G, Palermi G, Paradisi M
VII Divisione Dermatologia Pediatrica, Istituto Dermopatico dell Immacolata, IRCCS, Roma.
Minerva Pediatr. 2001 Feb;53(1):29-32.
Dermatophytosis in newborns and infants has been regarded as very unusual; a case recently observed of a 2-month-old child affected by tinea faciei is described. Twenty days before, localized erythematous infiltrated patches at the upper left eyelid and eyebrows with papules and pustules, were observed. Rarefaction of the eyebrows and partially loss of the eyelashes associated with scattered areas of erythematopapulous lesions on the face, were seen. Mycological examination was positive and trichophyton rubrum colonies grew. Tinea capitis is more common than tinea faciei in newborn and infants. Differential diagnosis includes: seborrheic dermatitis, atopic dermatitis with associated impetigo, candidiasis, bacterial folliculitis. The interhuman transmission by relatives is the most probable modality of trans-mission, as previously reported in the literature. A widespread of the dermatoses was due to previous application of topical corticosteroids. The lesions resolved completely after treatment with miconazole cream, applied twice daily for three weeks.
新生儿和婴儿的皮肤癣菌病一直被认为非常罕见；本文描述了最近观察到的一例2个月大患面部癣的儿童病例。20天前，在左上眼睑和眉毛处观察到局部红斑浸润性斑块，伴有丘疹和脓疱。可见眉毛稀疏和部分睫毛脱落，同时面部有散在的红斑丘疹性病变区域。真菌学检查呈阳性，培养出红色毛癣菌菌落。头癣在新生儿和婴儿中比面部癣更常见。鉴别诊断包括：脂溢性皮炎、伴有脓疱病的特应性皮炎、念珠菌病、细菌性毛囊炎。正如之前文献所报道的，亲属之间的人际传播是最可能的传播方式。皮肤病的广泛传播是由于之前外用了糖皮质激素。用咪康唑乳膏治疗，每天两次，持续三周后，皮损完全消退。
