Bassiri-Jahromi Shahindokht, Khaksar Ali Asghar
Department of Medical Mycology, Pasteur Institute of Iran, Tehran, Iran.
Indian J Dermatol. 2008;53(3):132-6. doi: 10.4103/0019-5154.43219.
In recent years, skin diseases in wrestling have finally received the attention they deserve. Outbreaks of tinea corporis are often associated with sports involving extensive bodily contact; such sports include wrestling. Tinea corporis gladiatorum is primarily caused by Trichophyton tonsurans, infecting wrestlers at alarming rates. The management of skin infections in wrestlers and other athletes in sports involving skin-to-skin contact entails numerous challenges, from making an accurate diagnosis to determining eligibility for playing the sports. To control outbreaks, we conducted an epidemiologic investigation. The purpose of this article is to determine the prevalence of tinea corporis gladiatorum in wrestlers in Tehran, Iran.
A study of dermatophytosis was carried out during the period of March 2004 to December 2005 on 612 mycological proven cases of dermatophytosis found in male wrestlers in Tehran. Mycological examination consisted of culturing of pathologic material followed by direct microscopic observation. Diagnosis was based on macroscopic and microscopic characteristics of the colonies.
T. tonsurans was the predominant dermatophyte, accounting for >90% of all tinea corporis gladiatorum isolates during the 2 year analysis. Tinea corporis gladiatorum was found to be more frequent in individuals between the ages of 10 and 20 years of age (72.7%). Wrestlers with tinea corporis gladiatorum were predominantly from wrestling clubs in southern and southeastern Tehran. Transmission of tinea corporis is primarily through skin-to-skin contact.
Rapid identification and treatment of tinea corporis gladiatorum is required to minimize the disruption of team practices and competitions. Infection with dermatophytes can disqualify a wrestler from competing in matches, and thus, vigilant surveillance and rapid initiation of treatment is important to prevent the suspension of team practices and competitions.
近年来，摔跤运动中的皮肤疾病终于得到了应有的关注。体癣的爆发通常与涉及广泛身体接触的运动有关；此类运动包括摔跤。角斗士体癣主要由断发毛癣菌引起，以惊人的速度感染摔跤运动员。对摔跤运动员和其他从事皮肤接触运动的运动员的皮肤感染进行管理面临诸多挑战，从准确诊断到确定参赛资格。为了控制疫情爆发，我们进行了一项流行病学调查。本文的目的是确定伊朗德黑兰摔跤运动员中角斗士体癣的患病率。
2004年3月至2005年12月期间，对德黑兰男性摔跤运动员中612例经真菌学证实的皮肤癣菌病病例进行了研究。真菌学检查包括对病理材料进行培养，随后进行直接显微镜观察。诊断基于菌落的宏观和微观特征。
在为期2年的分析中，断发毛癣菌是主要的皮肤癣菌，占所有角斗士体癣分离株的90%以上。角斗士体癣在10至20岁的个体中更为常见（72.7%）。患有角斗士体癣的摔跤运动员主要来自德黑兰南部和东南部的摔跤俱乐部。体癣的传播主要通过皮肤接触。
需要对角斗士体癣进行快速识别和治疗，以尽量减少团队训练和比赛的中断。皮肤癣菌感染可能使摔跤运动员丧失比赛资格，因此，警惕的监测和迅速开始治疗对于防止团队训练和比赛暂停很重要。
