del Boz Javier, Crespo Vicente, de Troya Magdalena
Dermatology Department, Hospital Costa del Sol, Marbella, Spain.
Pediatr Dermatol. 2012 May-Jun;29(3):249-53. doi: 10.1111/j.1525-1470.2011.01535.x. Epub 2011 Oct 13.
Tinea faciei (TF) is a common clinical form of tinea in children that is frequently misdiagnosed and treated with corticosteroids. No large case series of TF focusing on children have been published. The aim of this study was to analyze the main epidemiologic, clinical, and microbiologic features of TF in children over a period of 30 years and compare these features with those of other tineas. We undertook a retrospective study of 818 cases of tinea in children at a referral hospital in southern Spain, diagnosed between 1977 and 2006, concentrating for this study on TF. Of the 73 cases of TF diagnosed, 50.7% were in girls. Most children (46.6%) were 4 to 9 years old. At the time of diagnosis, 29.2% of the cases had been treated with topical steroids. The most frequently isolated dermatophyte was Trichophyton mentagrophytes, which was isolated significantly more frequently in TF than in the other tineas. Cases of TF in children were not extremely unusual, emphasizing that TF must be considered in children with inflammatory facial eruptions. This consideration and the more-frequent use of mycologic tests can help achieve the correct diagnosis, when present.
面部癣（TF）是儿童癣的一种常见临床类型，常被误诊并用皮质类固醇治疗。目前尚未发表过以儿童为重点的大型TF病例系列研究。本研究的目的是分析30年间儿童TF的主要流行病学、临床和微生物学特征，并将这些特征与其他癣病的特征进行比较。我们对西班牙南部一家转诊医院1977年至2006年间诊断的818例儿童癣病病例进行了回顾性研究，本研究重点关注TF。在确诊的73例TF病例中，50.7%为女孩。大多数儿童（46.6%）年龄在4至9岁。在诊断时，29.2%的病例曾接受过局部类固醇治疗。最常分离出的皮肤癣菌是须癣毛癣菌，在TF中分离出该菌的频率明显高于其他癣病。儿童TF病例并非极为罕见，这强调了对于有面部炎症性皮疹的儿童必须考虑TF。这种考虑以及更频繁地使用真菌学检测有助于在存在TF时做出正确诊断。
