Sweeney Susan M, Wiss Karen, Mallory Susan Bayliss
Department of Medicine, Division of Dermatology, University of Massachusetts Medical School, Worchester 01605, USA.
Arch Pediatr Adolesc Med. 2002 Nov;156(11):1149-52. doi: 10.1001/archpedi.156.11.1149.
Tinea pedis and tinea manuum in children are more common than previously recognized. Clinical presentations of dermatophyte infections may vary in children and may be difficult to diagnose.
To show the necessity of potassium hydroxide preparations and/or fungal cultures in assessing suspicious cases of cellulitis in children who may have dermatophyte infections.
We describe 4 children with inflammatory tinea pedis or tinea manuum who were initially misdiagnosed as having bacterial cellulitis.
A potassium hydroxide examination was performed on 3 patients. Fungal cultures were performed on 2 patients.
Inflammatory/bullous dermatophyte infections were detected by potassium hydroxide examination in all 4 patients and all 4 children successfully responded to topical antifungal therapy.
These cases demonstrate that inflammatory tinnea pedis/manuum can masquerade as cellulitis in children. Early potassium hydroxide examination can allow appropriate antifungal treatment to be initiated before fungal culture results are finalized.
儿童足癣和手癣比之前认为的更为常见。皮肤癣菌感染在儿童中的临床表现可能有所不同，且可能难以诊断。
表明在评估可能患有皮肤癣菌感染的儿童可疑蜂窝织炎病例时，氢氧化钾制剂检查和/或真菌培养的必要性。
我们描述了4例患有炎症性足癣或手癣的儿童，他们最初被误诊为细菌性蜂窝织炎。
对3例患者进行了氢氧化钾检查。对2例患者进行了真菌培养。
通过氢氧化钾检查在所有4例患者中均检测到炎症性/大疱性皮肤癣菌感染，且所有4名儿童均对局部抗真菌治疗有良好反应。
这些病例表明，炎症性足癣/手癣在儿童中可能伪装成蜂窝织炎。早期氢氧化钾检查可在真菌培养结果确定之前开始适当的抗真菌治疗。
