Seebacher C
Hautklinik des Städtischen Klinikums Dresden-Friedrichstadt, Dresden, Deutschland.
Mycoses. 2003;46 Suppl 1:42-6.
The spectrum of dermatophytes out of mycotic skin lesions had changed in last 70 years. Before the Second World War in Germany Microsporum audouinii and Epidermophyton floccosum held the first position, since the fifties of last century Trichophyton rubrum is the most frequently isolated dermatophyte accounting for 80-90% of the strains, followed by T. mentagrophytes. This development is typical for Central and North Europe and is connected with the increase in the incidence of tinea pedis. In contrast to this, in Southern Europe and in Arab countries zoophilic dermatophytes, such as M. canis and T. verrucosum, are the most frequently isolated dermatophytes. An analysis of the frequency and distribution of tinea pedis in different occupations and the route of infection is also reported. The epidemiologic findings are contrary to the assumption that patients are genetically predisposed to T. rubrum infection in a dominant autosomal pattern.
过去70年中,真菌性皮肤损伤中皮肤癣菌的种类发生了变化。在德国,第二次世界大战前奥杜盎小孢子菌和絮状表皮癣菌占主导地位,自上世纪五十年代以来,红色毛癣菌是最常分离出的皮肤癣菌,占菌株的80 - 90%,其次是须癣毛癣菌。这种情况在中欧和北欧很典型,并且与足癣发病率的增加有关。与此形成对比的是,在南欧和阿拉伯国家,亲动物性皮肤癣菌,如犬小孢子菌和疣状毛癣菌,是最常分离出的皮肤癣菌。本文还报道了对不同职业中足癣的发病率和分布以及感染途径的分析。这些流行病学研究结果与患者以显性常染色体模式遗传易患红色毛癣菌感染这一假设相反。