Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Foundation IRCCS, Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.
European Institute of Dermatology, Milan, Italy.
Mycoses. 2019 Jul;62(7):604-608. doi: 10.1111/myc.12914. Epub 2019 Apr 24.
Tinea manuum is considered in Italy as an uncommon infection, although no recent epidemiological data are available.
In the period 2000-2018, we observed in the metropolitan area of Milan 18 patients with mycologically tinea manuum.
The infection was monolateral in all patients and characterised by erythema and scaling; in two patients, each vesicles and pustules were present. Two patients had also onychomycosis of one fingernail. No cases of simultaneous tinea pedis were observed. As far as the job of these patients is concerned, seven of them were masseurs, three barbers, two cattlemen, two masons, one car mechanic, one florist, one maid and one veterinarian. Trichophyton rubrum was isolated in 6 patients, Microsporum canis in 4, Trichophyton gypseum in 3, Trichophyton verrucosum in 3 and Trichophyton violaceum in 2 patients.
Masseurs were the most affected. Trichophyton rubrum and Microsporum canis were the most frequent isolated dermatophytes.
手癣在意大利被认为是一种罕见的感染,尽管目前没有最新的流行病学数据。
在 2000 年至 2018 年期间,我们在米兰大都市区观察到 18 例经真菌学证实的手癣患者。
所有患者的感染均为单侧,表现为红斑和鳞屑;其中 2 例患者还存在水疱和脓疱。2 例患者还患有一个指甲的甲真菌病。未观察到同时患有足癣的病例。就这些患者的职业而言,7 例为按摩师,3 例为理发师,2 例为牧民,2 例为泥瓦匠,1 例为汽车修理工,1 例为花商,1 例为女佣,1 例为兽医。6 例患者分离出红色毛癣菌,4 例分离出犬小孢子菌,3 例分离出石膏样小孢子菌,3 例分离出疣状毛癣菌,2 例分离出紫色毛癣菌。
按摩师是受影响最严重的人群。红色毛癣菌和犬小孢子菌是最常见的分离真菌。