Fuller L C, Child F C, Midgley G, Higgins E M
Department of Dermatology, King's College Hospital, Denmark Hill, Camberwell, London SE5 9RS, UK.
Br J Dermatol. 2003 May;148(5):985-8. doi: 10.1046/j.1365-2133.2003.05022.x.
Scalp ringworm or tinea capitis has become an increasingly important public health issue in the past decade in Great Britain. Recently, certain dermatology departments in London have seen a large increase in tinea capitis in all its forms.
The aim of this paper is to present the detailed analysis of a cohort of 277 patients with tinea capitis seen during a 2-year period together with the latest local figures of tinea capitis cases from an inner city paediatric dermatology service. Methods Demographic, clinical and laboratory data were collected prospectively over 2 years from all cases of ringworm in patients seen in a paediatric clinic specially set up for scalp problems.
Sixty-two per cent of 277 cases of scalp ringworm were caused by Trichophyton tonsurans, occurring mainly (91%) in patients with Afro-Caribbean hair type, more often in boys (68%), and in the 3-8 year olds (70%). Only 7% of the patients had received appropriate treatment with oral griseofulvin. An additional 156 cases from the general paediatric dermatology clinic showed 91%T. tonsurans infections.
The prevalence of scalp ringworm appears to be reaching epidemic proportions in certain areas that include south-east London. The clinical problem is not yet well recognized by local general practitioners.
在过去十年中，头皮癣或头癣在英国已成为一个日益重要的公共卫生问题。最近，伦敦的某些皮肤科部门发现各种类型的头癣病例大幅增加。
本文旨在对一组在两年期间就诊的277名头癣患者进行详细分析，并提供来自市中心儿科皮肤科服务机构的头癣病例最新本地数据。方法：前瞻性地收集了两年内专门为解决头皮问题设立的儿科诊所中所有头癣患者的人口统计学、临床和实验室数据。
277例头皮癣病例中有62%由断发毛癣菌引起，主要发生在（91%）具有非洲 - 加勒比发型的患者中，男孩（68%）更为常见，且多见于3至8岁儿童（70%）。只有7%的患者接受了口服灰黄霉素的适当治疗。普通儿科皮肤科诊所的另外156例病例显示，91%为断发毛癣菌感染。
在包括伦敦东南部在内的某些地区，头皮癣的患病率似乎已达到流行程度。当地全科医生对这一临床问题尚未充分认识。
