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东京皮肤科患者隐匿性足癣和甲癣的临床与真菌学研究

Clinical and mycological study of occult tinea pedis and tinea unguium in dermatological patients from Tokyo.

作者信息

Ogasawara Y, Hiruma M, Muto M, Ogawa H

机构信息

Department of Dermatology, Juntendo University School of Medicine, Bunkyo-ku, Tokyo, Japan.

出版信息

Mycoses. 2003 Apr;46(3-4):114-9. doi: 10.1046/j.1439-0507.2003.00855.x.

DOI:10.1046/j.1439-0507.2003.00855.x
PMID:12870199
Abstract

An epidemiological investigation was conducted to determine the prevalence and circumstances of untreated, unsuspected tinea pedis and tinea unguium, morbid conditions that could be termed occult athlete's foot, in patients visiting a dermatology clinic in Tokyo, Japan, for the first time, for other complaints. All subjects completed a questionnaire covering comprehensive anamnestic details, and were examined for disposition of toes, presence of signs suggestive of tinea pedis, other diseases of the foot, score of clinical signs and symptoms, potassium hydroxide (KOH) test, severity score, and mycological culture. The results showed that the prevalence of occult athlete's foot was 25%, and that 59% of those cases were complicated by tinea unguium. The characteristics of patients with occult athlete's foot included a higher proportion of men and a tendency toward a low clinical score together with a high severity score. In the patient background, a strong correlation was observed between a positive KOH test result and characteristics such as age, disposition of toes, and predisposing disease.

摘要

针对因其他病症首次前往日本东京一家皮肤科诊所就诊的患者,开展了一项流行病学调查,以确定未治疗、未被怀疑的足癣和甲癣(可称为隐匿性运动员脚病)的患病率及患病情况。所有受试者均填写了一份涵盖全面既往病史细节的问卷,并接受了脚趾状况、足癣体征、足部其他疾病、临床体征和症状评分、氢氧化钾(KOH)检测、严重程度评分以及真菌培养的检查。结果显示,隐匿性运动员脚病的患病率为25%,其中59%的病例合并甲癣。隐匿性运动员脚病患者的特征包括男性比例较高,临床评分较低且严重程度评分较高。在患者背景方面,KOH检测结果呈阳性与年龄、脚趾状况和易感疾病等特征之间存在强烈关联。

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