Jorquera E, Moreno J C, Camacho F
Département de Dermatologie Médico-Chirurgicale et Vénéréologie, Hôpital Universitaire Virgen Macarena, Séville, Espagne.
Ann Dermatol Venereol. 1992;119(2):101-4.
Because of its clinical peculiarities responsible for many diagnostic errors resulting in potentially toxic treatments, tinea faciei should be regarded as a process with a personality of its own. The authors have reviewed 46 cases of tinea faciei, evaluating and highlighting their clinical and epidemiological peculiarities. As regards age and sex, two peaks of maximum incidence can be found: one in childhood, the other in adults older than forty. Many lesions progress over more than 12 months before they are diagnosed. Their peculiar clinical features suggests various initial diagnoses, the most frequent of which are related to photosensitivity (lupus erythematosus, polymorphous light eruption). Among the most frequently isolated dermatophytes, T. mentagrophytes var. granulosa and T. rubrum are outstanding.
由于其临床特殊性可导致许多诊断错误，进而引发潜在的毒性治疗，面部癣应被视为一种具有自身特点的病症。作者回顾了46例面部癣病例，评估并突出了其临床和流行病学特点。在年龄和性别方面，可以发现两个发病率最高的高峰：一个在儿童期，另一个在40岁以上的成年人中。许多病变在被诊断之前会持续发展超过12个月。其独特的临床特征提示了各种初始诊断，其中最常见的与光敏性有关（红斑狼疮、多形性日光疹）。在最常分离出的皮肤癣菌中，须癣毛癣菌肉芽肿变种和红色毛癣菌最为突出。
