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头癣的主要病因:伊朗北部一项为期12年的回顾性研究。

Predominance of causing tinea capitis: A 12-year retrospective study in the north of Iran.

作者信息

T Hedayati Mohammad, Kermani Firoozeh, Javidnia Javad, Moosazadeh Mahmood, Nosratabadi Mohsen, Salimi Maryam, Asadi Sabrieh, Mosayebi Elham, Hajheydari Zohreh, Golpour Masoud, Rahmatpour Rokni Ghasem, Kazemi Nejad Armaghan, Shokohi Tahereh, Bongomin Felix

机构信息

Invasive Fungi Research Centre (IFRC), Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran.

Department of Medical Mycology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Curr Med Mycol. 2023 Mar;9(1):21-27. doi: 10.18502/CMM.2023.345026.1395.

Abstract

BACKGROUND AND PURPOSE

Among different clinical entities of dermatophytosis, tinea capitis (TC) is considered a major public health challenge in the world, especially in regions with poor health and low income. Therefore, this study aimed to provide a retrospective analysis of the patients suspected of TC who were referred to the medical mycology laboratory of Mazandaran, a northern province of Iran.

MATERIALS AND METHODS

A retrospective analysis was performed on the patients suspected of TC who were referred to the medical mycology laboratory from July 2009 to April 2022. Hair roots and skin scrapings were collected from the participants. The laboratory diagnosis was confirmed by direct microscopic examination and culture. Finally, 921 out of 11095 (8.3%) patients were suspected of TC.

RESULTS

Based on the findings, TC was confirmed in 209 out of 921 patients (22.7%). In terms of gender, 209 TC patients (75.1%) were male. Moreover, the male to female ratio of TC patients was 1:3.0. (146/174, 83.91%) was the most etiological agent, followed by (13/174, 7.47%), (9/174, 5.17%), (3/174, 1.71%), (2/174, 1.15%) and (1/174, 0.57%). Besides, endothrix (77.0%) was the most prevalent type of hair invasion.

CONCLUSION

The results revealed the predominance of , as a causative agent of TC. Despite the prevalence of TC, the absence of appropriate consideration highlights that it is a neglected complication among children.

摘要

背景与目的

在皮肤癣菌病的不同临床类型中,头癣(TC)被认为是全球主要的公共卫生挑战,尤其是在健康状况差和低收入地区。因此,本研究旨在对转诊至伊朗北部省份马赞德兰医学真菌实验室的疑似头癣患者进行回顾性分析。

材料与方法

对2009年7月至2022年4月转诊至医学真菌实验室的疑似头癣患者进行回顾性分析。从参与者处采集发根和皮肤刮屑。通过直接显微镜检查和培养确诊实验室诊断。最后,11095名患者中有921名(8.3%)被疑似患有头癣。

结果

根据研究结果,921名患者中有209名(22.7%)被确诊为头癣。在性别方面,209名头癣患者(75.1%)为男性。此外,头癣患者的男女比例为1:3.0。(146/174,83.91%)是最主要的病原体,其次是(13/174,7.47%)、(9/174,5.17%)、(3/174,1.71%)、(2/174,1.15%)和(1/174,0.57%)。此外,发内型(77.0%)是最常见的毛发侵犯类型。

结论

结果显示,作为头癣的病原体占主导地位。尽管头癣很普遍,但缺乏适当的关注凸显出它是儿童中一种被忽视的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8efa/10590191/c8fc24e75352/CMM-9-21-g001.jpg

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