Martínez Campayo N, Rego Campuzano I, González de Aledo M, Arévalo Bermúdez M P, Fernández Torres R M, Fonseca E
Departamento de Dermatología, Hospital Universitario de A Coruña, A Coruña, España.
Departamento de Dermatología, Hospital Universitario de A Coruña, A Coruña, España.
Actas Dermosifiliogr. 2022 Jan;113(1):T74-T77. doi: 10.1016/j.ad.2020.11.024. Epub 2021 Jul 3.
Although zoophilic dermatophytes remain the predominant cause of tinea capitis in Spain, an increase due to anthropophilic species has been reported. We report a retrospective observational study that included 24 children, who were diagnosed with tinea capitis due to anthropophilic species between 2004 and 2019. 75% of the patients were males with a mean age of 4,88 years. We observed 83,3% of cases from Africa, 4,2% from South America and 12,5% from Spain. Clinically, 70,8% of the patients presented scaly patches and non-scaring alopecia. Trichophyton soudanense was the main dermatophyte of the series (45,8%), followed by Microsporum audouinii (20,8%), Trichophyton tonsurans (12,5%) and Trichophyton violaceum (12,5%). Although this pattern of infection appears to be linked to immigration from Africa, we saw three native cases. The easier transmission of anthropophilic rather than zoophilic dermatophytes could predict a rise in the incidence of tinea capitis and a public health problem.
尽管亲动物性皮肤癣菌仍是西班牙头癣的主要病因，但已有报道称亲人性菌种导致的头癣有所增加。我们报告了一项回顾性观察研究，该研究纳入了24名儿童，他们在2004年至2019年间被诊断为亲人性菌种引起的头癣。75%的患者为男性，平均年龄为4.88岁。我们观察到83.3%的病例来自非洲，4.2%来自南美洲，12.5%来自西班牙。临床上，70.8%的患者出现鳞屑斑和非瘢痕性脱发。苏丹毛癣菌是该系列中的主要皮肤癣菌（45.8%），其次是奥杜盎小孢子菌（20.8%）、断发毛癣菌（12.5%）和紫色毛癣菌（12.5%）。尽管这种感染模式似乎与来自非洲的移民有关，但我们也发现了3例本地病例。亲人性皮肤癣菌比亲动物性皮肤癣菌更容易传播，这可能预示着头癣发病率的上升以及一个公共卫生问题。
