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银屑病患者念珠菌属的患病率。

Prevalence of Candida Species in Patients with Psoriasis.

作者信息

Ovčina-Kurtović Nermina, Kasumagić-Halilović Emina, Helppikangans Hana, Begić Jasmina

机构信息

Nermina Ovčina-Kurtović, MD, MS, Department of Dermatovenereology , University Clinical Center Sarajevo, Bolnička 25 , 71 000 Sarajevo, Bosnia and Herzegovina;

出版信息

Acta Dermatovenerol Croat. 2016 Aug;24(3):209-13.

Abstract

Investigation of Candida yeast prevalence in patients with psoriasis has been performed with the aim of determining their possible role as a trigger factor in the pathogenic process of this disease. The purpose of our study was to investigate the prevalence of Candida species on the skin of intertriginous areas and psoriasis lesions as well as the prevalence of Candida species in the stool of patients with psoriasis. This study also examines a possible correlation between the severity of psoriasis and prevalence of isolated Candida species. The patients with psoriasis were divided into two groups according to the clinical type of psoriasis; a group with plaque psoriasis (PP) and psoriasis inversa (PI) (G1) and a group with psoriasis erythrodermica (PE) and psoriasis pustulosa (PPS) (G2). The group of patients with PP and PI (G1) was divided according to score on the Psoriasis Area Severity Index test (PASI) according to severity of disease into the clinical subgroup with PASI <50 and another subgroup with PASI >50. Mycological analysis of skin samples in patients of the clinical group with PP and PI showed a statistically significant difference as well as correlation between the results of isolated specimens of Candida species from the skin of intertriginous areas and psoriasis lesions, the clinical form of psoriasis, and the PASI score.

摘要

为了确定念珠菌酵母在银屑病患者发病过程中作为触发因素的可能作用,已对银屑病患者念珠菌的流行情况进行了调查。我们研究的目的是调查念珠菌在间擦部位皮肤和银屑病皮损上的流行情况以及银屑病患者粪便中念珠菌的流行情况。本研究还考察了银屑病严重程度与分离出的念珠菌流行率之间的可能相关性。根据银屑病的临床类型,将银屑病患者分为两组;一组为斑块状银屑病(PP)和反向性银屑病(PI)(G1组),另一组为红皮病型银屑病(PE)和脓疱型银屑病(PPS)(G2组)。G1组中PP和PI患者根据银屑病面积和严重程度指数测试(PASI)得分,按照疾病严重程度分为PASI<50的临床亚组和PASI>50的另一个亚组。对PP和PI临床组患者的皮肤样本进行的真菌学分析显示,从间擦部位皮肤和银屑病皮损分离出的念珠菌标本结果、银屑病的临床类型和PASI评分之间存在统计学上的显著差异以及相关性。

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