Heidrich Daiane, Daboit Tatiane Caroline, Stopiglia Cheila Denise Ottonelli, Magagnin Cibele Massotti, Vetoratto Gerson, Amaro Taís Guarienti, Scroferneker Maria Lúcia
Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, BR.
Universidade Federal do Piauí, Parnaíba, PI, BR.
Rev Inst Med Trop Sao Paulo. 2015 Jul-Aug;57(4):277-80. doi: 10.1590/S0036-46652015000400001.
Pityriasis versicolor is the most common of the diseases caused by Malassezia yeasts. The aim of this study is to determine the prevalence of pityriasis versicolor and its etiological aspects in the metropolitan area of Porto Alegre, Brazil. A retrospective cross-sectional study with data from patients of a reference hospital from 1996 to 2011 was performed. Collected data included: date, age, gender, ethnicity, anatomical region of lesion and the direct mycological examination results. Among the positive results in the direct mycological examination, 5.8% (2,239) were positive for pityriasis versicolor. The angular coefficient (B) was -0.3%/year, showing a decrease over the years. The disease was more prevalent in men (7.1% of men versus 5.1% of women that underwent the direct mycological examination); younger age (median 31 years old); "pardo" and black people (3.7% more than expected in the sample); trunk (73.44% of the affected anatomic sites). Lesions in rare sites (groin, genitals, legs, feet and hands) were also observed in this study. In conclusion, due to the decrease in the prevalence of pityriasis versicolor, long-term epidemiological studies in the metropolitan area of Porto Alegre, Brazil, are needed to continue the monitoring of this disease.
花斑糠疹是由马拉色菌酵母引起的最常见疾病。本研究的目的是确定巴西阿雷格里港大都市区花斑糠疹的患病率及其病因学方面。对一家参考医院1996年至2011年患者的数据进行了回顾性横断面研究。收集的数据包括:日期、年龄、性别、种族、病变的解剖部位以及直接真菌学检查结果。在直接真菌学检查的阳性结果中,5.8%(2239例)为花斑糠疹阳性。角系数(B)为-0.3%/年,表明多年来呈下降趋势。该疾病在男性中更为普遍(接受直接真菌学检查的男性中有7.1%,女性中有5.1%);年龄较轻(中位数为31岁);“混血儿”和黑人(比样本中预期的多3.7%);躯干(73.44%的受影响解剖部位)。本研究中还观察到了罕见部位(腹股沟、生殖器、腿部、足部和手部)的病变。总之,由于花斑糠疹患病率的下降,需要在巴西阿雷格里港大都市区开展长期流行病学研究,以继续监测这种疾病。