Chen Wenjie, Bao Fangfang, Pan Qing, Liu Tingting, Xue Xiaotong, Liu Hong, Zhang Furen
Shandong Provincial Hospital for Skin Diseases & Shandong Provincial Institute of Dermatology and Venereology, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.
J Trop Med. 2023 Aug 16;2023:5514275. doi: 10.1155/2023/5514275. eCollection 2023.
Cutaneous infection is an increasingly infectious disease presenting unique diagnostic and therapeutic challenges. The aim of this study was to evaluate the differences in time to treatment among patients with different types of skin lesions and who were treated with single or multidrug therapies. In addition, the clinical characteristics of infection were explored and the mechanism of the host immune responses was investigated. The electronic medical records of 35 patients with infection were reviewed. The clinical characteristics, histopathological and laboratory data, and treatment outcomes were analyzed. Immunohistochemical analysis was performed to clarify the immune mechanisms induced by infection in 9 patients and 5 healthy controls. Of the 35 patients, 25 (71.4%) had lesions with sporotrichoid patterns. The duration of patients with sporotrichoid lesions or treatment with multiple drugs was longer, although differences were not significant, possibly due to the small cohort. However, this trend was also observed in previous studies, making it worthy of further attention. Expression levels of cytokines (IFN-, IL-4, IL-9, and FOXP3) were significantly upregulated in the patient specimens, whereas there were no significant differences in IL-17 and IL-22 expression levels between the patient and control groups.
皮肤感染是一种日益常见的传染病,带来了独特的诊断和治疗挑战。本研究的目的是评估不同类型皮肤病变患者以及接受单药或多药治疗患者在治疗时间上的差异。此外,还探讨了感染的临床特征,并研究了宿主免疫反应的机制。回顾了35例感染患者的电子病历。分析了临床特征、组织病理学和实验室数据以及治疗结果。对9例患者和5名健康对照进行了免疫组织化学分析,以阐明感染诱导的免疫机制。在35例患者中,25例(71.4%)有孢子丝菌样皮损。有孢子丝菌样皮损或接受多种药物治疗的患者病程较长,尽管差异不显著,可能是由于样本量小。然而,此前的研究也观察到了这种趋势,值得进一步关注。患者标本中细胞因子(IFN-、IL-4、IL-9和FOXP3)的表达水平显著上调,而患者组和对照组之间IL-17和IL-22的表达水平没有显著差异。