Jacinto-Jamora S, Tamesis J, Katigbak M L
Skin and Cancer Foundation Inc., Makati, MetroManila, Philippines.
J Am Acad Dermatol. 1991 May;24(5 Pt 1):693-6. doi: 10.1016/0190-9622(91)70104-a.
Sixty-eight typical cases were studied to define the course of Pityrosporum folliculitis in a tropical setting. Contrary to reports in the literature, we found Pityrosporum folliculitis to be polymorphic. The "molluscoid" comedopapule was the most characteristic and common lesion, and it yielded consistently high spore counts. The face was commonly involved. To establish the diagnosis, we used direct microscopy of potassium hydroxide/Parker blue-black ink mounts of the lower poles of comedonal plugs. Pityrosporum folliculitis is common in the Philippines, although our adult controls had a low incidence of skin carriage of Pityrosporum orbiculare on the face compared with those reported in the West. Pityrosporum folliculitis coexisted with acne vulgaris in 56% of patients, and the addition of antimycotics to the acne regimen produced dramatic clearing of lesions.
对68例典型病例进行研究，以确定热带地区糠秕孢子菌性毛囊炎的病程。与文献报道相反，我们发现糠秕孢子菌性毛囊炎具有多形性。“软体动物样”粉刺丘疹是最具特征性和常见的损害，其孢子计数始终很高。面部常受累。为了确立诊断，我们对粉刺栓下端进行氢氧化钾/派克蓝黑墨水涂片直接镜检。糠秕孢子菌性毛囊炎在菲律宾很常见，尽管与西方报道相比，我们的成年对照者面部圆形糠秕孢子菌的皮肤携带率较低。56%的患者糠秕孢子菌性毛囊炎与寻常痤疮并存，在痤疮治疗方案中加用抗真菌药可使皮损显著消退。
