del Boz-González J
Servicio de Dermatología, Hospital Costa del Sol, Málaga, España.
Actas Dermosifiliogr. 2012 May;103(4):288-93. doi: 10.1016/j.ad.2011.08.003. Epub 2011 Nov 4.
Considerable information is available on the changing incidence, etiology, clinical forms and management of tinea capitis in Spain. While the condition became epidemic during the 19th century, when it was predominantly caused by anthropophilic dermatophytes, the incidence fell with the advent of treatment with griseofulvin, after which zoophilic dermatophytes became the main etiologic agents. Although the true incidence of tinea capitis in Spain today is unknown, the condition continues to be a public health problem. Ongoing changes are evident in the greater diversity of pathogenic species identified and a renewed increase in anthropophilic dermatophytes, especially associated with immigration. Consequently, unless action is taken to correctly diagnose, treat, and prevent this infection, its prevalence may once again reach epidemic proportions in the near future.
关于西班牙头癣发病率的变化、病因、临床类型及治疗已有大量信息。19世纪时,头癣曾流行,当时主要由亲人性皮肤癣菌引起,随着灰黄霉素治疗方法的出现,发病率下降,此后亲动物性皮肤癣菌成为主要病原体。尽管目前西班牙头癣的实际发病率尚不清楚,但该疾病仍是一个公共卫生问题。已发现的致病菌种更加多样,亲人性皮肤癣菌再次增多,尤其是与移民相关,这一持续变化十分明显。因此,除非采取行动正确诊断、治疗和预防这种感染,否则其患病率在不久的将来可能会再次达到流行程度。