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波兰格但斯克儿童及青少年的皮肤癣菌病

Dermatophytosis in children and adolescents in Gdansk, Poland.

作者信息

Lange M, Nowicki R, Barańska-Rybak W, Bykowska B

机构信息

Department of Dermatology, Venerology and Allergology, Medical University of Gdańsk, Gdańsk, Poland.

出版信息

Mycoses. 2004 Aug;47(7):326-9. doi: 10.1111/j.1439-0507.2004.01000.x.

Abstract

During a 3-year period (1999-2001) a total of 94 cases of dermatophytosis were seen in patients from 0 to 18 years of age attending the Department of Dermatology, Venerology and Allergology of Gdańsk Medical University. Mycoses were diagnosed on the basis of clinical picture and direct microscopy and were confirmed by positive cultures. The most frequent pathogens were Microsporum canis (62%) and Trichophyton rubrum (12%). The most often forms of dermatophytosis in children were tinea cutis glabrae (42%) and tinea capitis (30%). Microsporum canis predominated in both locations. Glabrous skin lesions were the most frequent in children aged 8-15 years; the peak of scalp lesions was observed mainly in children aged 4-7 years. Tinea pedis occurred more frequently than suspected. Tinea pedis was observed mainly in adolescents (above the age of 12 years)--the majority of cases were caused by T. rubrum and T. mentagrophytes var. granulosum. Onychomycosis was highly uncommon, caused mainly by T. rubrum. Dermatomycoses in general were most frequent in October and November.

摘要

在1999年至2001年的3年期间,格但斯克医科大学皮肤科、性病科和变态反应科共诊治了94例0至18岁的皮肤癣菌病患者。根据临床表现和直接镜检诊断真菌病,并通过阳性培养加以证实。最常见的病原体是犬小孢子菌(62%)和红色毛癣菌(12%)。儿童皮肤癣菌病最常见的类型是光滑皮肤癣(42%)和头癣(30%)。犬小孢子菌在这两个部位均占主导。光滑皮肤病变在8至15岁的儿童中最为常见;头皮病变的高峰主要出现在4至7岁的儿童中。足癣的发生率比预期的更高。足癣主要见于青少年(12岁以上)——大多数病例由红色毛癣菌和须癣毛癣菌颗粒变种引起。甲癣非常少见,主要由红色毛癣菌引起。一般来说,皮肤真菌病在10月和11月最为常见。

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