Drut R, Drut R M
Pathology Service, Maria Ludovica Children's Hospital, La Plata, Argentina.
Acta Cytol. 1988 Jul-Aug;32(4):489-90.
Cytologic scrapings of skin vesicles from an eight-day-old newborn who had a generalized maculopapular, vesicular and pustular rash contained mycelia and ovoid spores of fungal organisms. The cytodiagnosis of cutaneous candidiasis was confirmed by the study of a direct smear and a skin biopsy. The candidiasis was congenital; the 15-year-old mother had had vulvar pruritus prior to delivery. Since the variable clinical picture of this disease must be differentiated from those of other types of congenital dermatitis, an early cytologic study of skin scrapings may prove useful for its rapid diagnosis and treatment.
一名8天大的新生儿出现全身性斑丘疹、水疱和脓疱疹,对其皮肤水疱进行细胞学刮片检查,发现了真菌的菌丝体和卵形孢子。通过直接涂片和皮肤活检研究,确诊为皮肤念珠菌病。该念珠菌病为先天性;患儿15岁的母亲在分娩前有外阴瘙痒症状。由于这种疾病多变的临床表现必须与其他类型的先天性皮炎相鉴别,因此对皮肤刮片进行早期细胞学研究可能有助于快速诊断和治疗。