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足癣——健康与美丽的尴尬问题——叙事性综述。

Tinea pedis-An embarrassing problem for health and beauty-A narrative review.

机构信息

Department of Dermatology, Venereology and Allergology, Wrocław Medical University, Wrocław, Poland.

Department of Pharmaceutical Microbiology and Parasitology, Wroclaw Medical University, Wrocław, Poland.

出版信息

Mycoses. 2021 Oct;64(10):1140-1150. doi: 10.1111/myc.13340. Epub 2021 Jul 11.

Abstract

Fungal infections present with a broad spectrum of diseases in humans (from relatively mild superficial infections of the skin and mucous membranes to the invasive or chronic infections of internal organs, which have a high mortality rate). Globally, up to 1.6 million people die each year as a result of various types of mycoses. Currently, many scientific studies focus on the best possible understanding of the aspects of the epidemiology and pathogenesis of invasive mycoses and effective methods to combat them. However, mycoses of the skin and its appendages remain a relatively less explored area. In some communities, superficial mycoses are a frequent problem as they affect nearly 70% of the population, an example of which is the athlete's foot. It involves the nails (onychomycosis) and skin (tinea pedis). It is mainly caused by keratin-decomposing dermatophyte fungi. Less often, infections are caused by non-dermatophyte moulds (Fusarium, Aspergillus, Scopulariopsis) or yeasts. Several factors have been listed as having substantial influence on the development of dermatophytosis, including those related to climate, season, geographical region, as well as to demography, socioeconomic and cultural customs, professions or contact with animals. In this review, we summarise the current knowledge about aetiology, epidemiology, diagnostics and therapy of tinea pedis with a special focus to the role of podologic management in spreading, prevention and therapy of mycoses. The article presents up-to-date knowledge on the management of the patient from the diagnosis, treatment and skincare, to counselling on how to prevent fungal skin infections in the long term.

摘要

真菌感染在人类中表现出广泛的疾病谱(从相对轻微的皮肤和黏膜浅表感染到侵袭性或慢性内脏感染,这些感染的死亡率很高)。在全球范围内,每年有多达 160 万人因各种类型的真菌感染而死亡。目前,许多科学研究都集中在尽可能深入地了解侵袭性真菌感染的流行病学和发病机制以及有效对抗这些感染的方法上。然而,皮肤及其附属物的真菌感染仍然是一个相对较少被探索的领域。在某些社区,浅表真菌感染是一个常见的问题,因为它们影响了近 70%的人口,例如足癣。它涉及指甲(甲真菌病)和皮肤(足癣)。它主要由角蛋白分解的皮肤真菌引起。不那么常见的是,感染是由非皮肤真菌霉菌(镰刀菌、曲霉、枝孢霉)或酵母引起的。已经列出了一些因素对皮肤癣菌病的发展有实质性影响,包括与气候、季节、地理位置以及人口统计学、社会经济和文化习俗、职业或与动物接触有关的因素。在这篇综述中,我们总结了足癣的病因、流行病学、诊断和治疗的最新知识,特别强调了足部护理管理在传播、预防和治疗真菌感染中的作用。本文介绍了从诊断、治疗和皮肤护理到如何预防长期真菌感染的咨询,为患者管理提供了最新知识。

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