Department of Dermatology and Venereology, Hospital Santo António dos Capuchos, Centro Hospitalar de Lisboa Central, Lisbon, Portugal.
Mycoses. 2018 Apr;61(4):283-285. doi: 10.1111/myc.12730. Epub 2017 Dec 28.
Tinea faciei is a relatively uncommon dermatophytosis that affects the glabrous skin of the face. The aim of this study was to analyse the epidemiologic, clinical and mycological features of tinea faciei cases diagnosed at the Dermatology and Venereology Department of Hospital Santo António dos Capuchos (Lisbon, Portugal). Consecutive cases diagnosed between 2008 and 2016 were studied retrospectively. A total of 72 tinea faciei cases have been diagnosed, involving 37 male and 35 female, aged between 8 months and 86 years. The majority were observed in patients younger than 12 years of age (59.72%). Anthropophilic isolates (mainly Microsporum audouinii, Trichophyton soudanense and Trichophyton rubrum) accounted for 75.7% of the identified dermatophytes. One quarter of the patients were also affected by dermatophytosis in other areas, such as the scalp. Only 10 cases were previously treated with topical steroids due to misdiagnosis. Most patients were treated with topical and systemic antifungal therapy with total resolution of skin lesions, without relapse or side effects. In contrast to other European studies, anthropophilic dermatophytes were the main causative agents of tinea faciei. As previously described to tinea capitis, this result is probably due to changes in the epidemiology of dermatophytes worldwide.
面癣是一种相对少见的皮肤癣菌病，影响面部无毛的皮肤。本研究旨在分析 2008 年至 2016 年间在葡萄牙里斯本圣安东尼乌斯卡普楚斯医院皮肤科和性病科诊断的面癣病例的流行病学、临床和真菌学特征。对连续诊断的病例进行回顾性研究。共诊断出 72 例面癣，涉及 37 名男性和 35 名女性，年龄在 8 个月至 86 岁之间。大多数患者年龄小于 12 岁（59.72%）。亲人性真菌（主要是须毛癣菌、苏丹毛癣菌和红色毛癣菌）占鉴定出的皮肤癣菌的 75.7%。四分之一的患者还患有头皮等其他部位的皮肤癣菌病。由于误诊，仅有 10 例患者此前曾用局部类固醇治疗。大多数患者接受了局部和全身抗真菌治疗，皮肤病变完全消退，无复发或副作用。与其他欧洲研究不同，亲人性皮肤癣菌是面癣的主要致病因子。与面癣一样，这一结果可能是由于全球范围内皮肤癣菌病的流行病学变化。
