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三名儿童中表现为穿掘性蜂窝织炎的头癣

Tinea capitis mimicking dissecting cellulitis in three children.

作者信息

Shastry Jennifer, Ciliberto Heather, Davis Dawn Marie

机构信息

Presence Resurrection Medical Center, Chicago, IL, USA.

Department of Dermatology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.

出版信息

Pediatr Dermatol. 2018 Jan;35(1):e79-e83. doi: 10.1111/pde.13343. Epub 2017 Dec 18.

Abstract

Tinea capitis mimicking dissecting cellulitis is a rare presentation, and there is a paucity of information regarding this presentation in the literature. Three children 10-14 years of age who presented with an unusual clinical manifestation of tinea capitis that clinically resembled dissecting cellulitis are reported. The patients were treated with systemic antifungals for 3-4 months. Treatment success was measured according to repeat fungal cultures and clinical assessment of hair regrowth at follow-up visits. All three patients had resolution of infection, with negative repeat fungal cultures and complete hair regrowth without scarring. These cases highlight a rare inflammatory subtype of tinea capitis that can be easily misdiagnosed and therefore improperly treated, prolonging the duration of infection.

摘要

模仿蜂窝织炎的头癣是一种罕见的表现,文献中关于这种表现的信息很少。本文报告了3例10 - 14岁儿童,他们表现出头癣的一种不寻常临床表现,临床上类似于蜂窝织炎。患者接受了3 - 4个月的全身抗真菌治疗。根据随访时重复真菌培养和头发生长的临床评估来衡量治疗效果。所有3例患者感染均得到缓解,重复真菌培养结果为阴性,头发完全再生且无瘢痕形成。这些病例突出了一种罕见的头癣炎症亚型,它很容易被误诊,从而导致治疗不当,延长感染持续时间。

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