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毛发镜检在两名婴儿头癣治疗中的作用:病例报告

Role of Trichoscopy in the Management of Tinea Capitis in Two Infants: A Case Report.

作者信息

Kumar Pradeep, Pandhi Deepika

机构信息

Department of Dermatology and STD, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India.

出版信息

J Cutan Aesthet Surg. 2021 Oct-Dec;14(4):443-445. doi: 10.4103/JCAS.JCAS_160_20.

DOI:10.4103/JCAS.JCAS_160_20
PMID:35283605
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8906276/
Abstract

As tinea capitis rarely affects infants, early trichoscopic diagnosis facilitates timely institution of appropriate therapy. We report a 10-month-old female presenting with mixed pattern tinea capitis and coexisting tinea faciei wherein trichoscopy showed perifollicular scaling, comma hair, corkscrew hair, and horse-shoe hair. Case 2 was a 3-month-old female with gray patch tinea capitis, corroborated by the presence of perifollicular scaling, comma hair, corkscrew hair, and prominent telangiectasia on trichoscopy. Both cases were successfully treated with tablet fluconazole (5 mg/kg) for 6-8 weeks.

摘要

由于头癣很少影响婴儿,早期皮肤镜诊断有助于及时进行适当治疗。我们报告了一名10个月大的女性,患有混合型头癣并伴有面部癣,皮肤镜检查显示毛囊周围脱屑、逗号状发、螺旋状发和马蹄状发。病例2是一名3个月大的女性,患有灰斑型头癣,皮肤镜检查发现毛囊周围脱屑、逗号状发、螺旋状发以及明显的毛细血管扩张,从而得以确诊。两例均成功接受了氟康唑片剂(5mg/kg)治疗6 - 8周。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fcd/8906276/8b449ed1b91c/JCAS-14-443-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fcd/8906276/e884185f5ff8/JCAS-14-443-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fcd/8906276/8b449ed1b91c/JCAS-14-443-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fcd/8906276/e884185f5ff8/JCAS-14-443-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fcd/8906276/8b449ed1b91c/JCAS-14-443-g002.jpg

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本文引用的文献

1
Trichoscopy as a Diagnostic Tool for Tinea Capitis: A Prospective, Observational Study.毛发镜检查作为头癣诊断工具的前瞻性观察研究
Int J Trichology. 2020 Mar-Apr;12(2):68-74. doi: 10.4103/ijt.ijt_30_20. Epub 2020 May 5.
2
A case report of tinea capitis in infant in first year of life.婴儿期头癣 1 例报告
BMC Pediatr. 2019 Feb 22;19(1):65. doi: 10.1186/s12887-019-1433-7.
3
Tinea Capitis in a Newborn.新生儿头癣
N Engl J Med. 2018 May 24;378(21):2022. doi: 10.1056/NEJMicm1711862.
4
Analysis of trichoscopic signs observed in 24 patients presenting tinea capitis: Hypotheses based on physiopathology and proposed new classification.对24例头癣患者观察到的毛发镜征象分析:基于生理病理学的假设及提出的新分类法
Ann Dermatol Venereol. 2017 Aug-Sep;144(8-9):490-496. doi: 10.1016/j.annder.2016.12.012. Epub 2017 May 18.
5
Dermoscopy as a useful supportive tool for the diagnosis of pityriasis amiantacea-like tinea capitis.皮肤镜作为诊断石棉状糠疹样头癣的有用辅助工具。
Dermatol Pract Concept. 2016 Jul 31;6(3):63-5. doi: 10.5826/dpc.0603a13. eCollection 2016 Jul.
6
Relevance of trichoscopy in the differential diagnosis of alopecia: A cross-sectional study from North India.毛发镜检在脱发鉴别诊断中的相关性:一项来自印度北部的横断面研究。
Indian J Dermatol Venereol Leprol. 2016 Nov-Dec;82(6):651-658. doi: 10.4103/0378-6323.183636.
7
Trichoscopy as an additional tool for the differential diagnosis of tinea capitis: a prospective clinical study.皮肤镜作为头癣鉴别诊断的辅助工具:一项前瞻性临床研究。
Br J Dermatol. 2016 Jul;175(1):208-9. doi: 10.1111/bjd.14413. Epub 2016 May 23.
8
Different trichoscopic features of tinea capitis and alopecia areata in pediatric patients.儿童头癣和斑秃的不同毛发镜特征。
Dermatol Res Pract. 2014;2014:848763. doi: 10.1155/2014/848763. Epub 2014 Jun 16.
9
Tinea capitis in infants: recognition, evaluation, and management suggestions.婴儿头癣:识别、评估及管理建议
J Clin Aesthet Dermatol. 2012 Feb;5(2):49-59.
10
Comma hairs: a dermatoscopic marker for tinea capitis: a rapid diagnostic method.逗号状毛发:头癣的皮肤镜标志物:一种快速诊断方法。
J Am Acad Dermatol. 2008 Nov;59(5 Suppl):S77-9. doi: 10.1016/j.jaad.2008.07.009.