Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Molecular Dermatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
BMC Pediatr. 2024 Oct 31;24(1):694. doi: 10.1186/s12887-024-05171-6.
Kerion, a severe inflammatory type of tinea capitis, presents with purulent, boggy swelling and alopecia. Few articles in the literature provide information on this uncommon manifestation of tinea capitis (TC). This study aimed to determine the epidemiological and clinical characteristics of patients with Kerion over an 11-year period in an inpatient setting.
In this retrospective cross-sectional study, we enrolled all the admitted patients with inflammatory TC in the dermatology department of Shahid Faghihi referral hospital during 2011-2022. The data included demographic factors, animal contact, treatment, outcome, and past medical profiles. We used STATA 14.2 to analyze the data.
One hundred and thirty-two patients with Kerion were enrolled in to the study. the mean age of patients was 7.6 ± 5.8 years. Boys (82.5%, n = 109) significantly outnumbered girls (17.5%, n = 23), and 82.2% of patients were under 11 years of age. Eight patients were one to two years old, two were infants under one year old, and five were adults. More than half (52.2%) of the patients were from rural areas. Most of the cases had heavily utilized systemic antifungal therapy, antibiotics, and corticosteroids. In addition, 43 patients reported positive animal contact. Over the course of an eleven-year period, there was a downward trend in the number of hospitalized patients.
We report one of the largest studies on Kerion patients over an eleven-year period. We have expanded the information on Kerion patients' epidemiology, transmission mode, and clinical outcomes. To develop preventative strategies for Kerion, future studies should focus on additional risk factors and individual susceptibilities.
黄癣，一种严重的炎症性头癣，表现为化脓性、肿胀和脱发。文献中很少有文章提供关于这种不常见的头癣（TC）表现的信息。本研究旨在确定在住院环境中 11 年内患有黄癣的患者的流行病学和临床特征。
在这项回顾性横断面研究中，我们招募了皮肤科收治的所有患有炎症性 TC 的住院患者。数据包括人口统计学因素、动物接触、治疗、结果和既往病史。我们使用 STATA 14.2 分析数据。
共纳入 132 例黄癣患者。患者的平均年龄为 7.6±5.8 岁。男孩（82.5%，n=109）明显多于女孩（17.5%，n=23），82.2%的患者年龄在 11 岁以下。8 例患者为 1-2 岁，2 例为 1 岁以下婴儿，5 例为成人。超过一半（52.2%）的患者来自农村地区。大多数病例接受了大量的全身抗真菌治疗、抗生素和皮质类固醇治疗。此外，43 例患者报告有阳性动物接触。在十一年的时间里，住院患者的数量呈下降趋势。
我们报告了在十一年期间黄癣患者人数最多的研究之一。我们扩大了关于黄癣患者流行病学、传播模式和临床结果的信息。为了制定黄癣的预防策略，未来的研究应关注其他危险因素和个体易感性。
