皮肤超声在头癣诊断及炎症活动评估中的应用
Cutaneous ultrasound in the diagnosis and assessment of inflammatory activity in tinea capitis.
作者信息
Rodríguez-Cuadrado Francisco José, Roustan-Gullón Gaston, Alfageme-Roldán Fernando
机构信息
Department of Dermatology Hospital Universitario Puerta de Hierro Majadahonda Calle Joaquín Rodrigo, 1, Majadahonda 28222 Madrid Spain.
出版信息
Australas J Ultrasound Med. 2024 Jul 10;27(4):251-253. doi: 10.1002/ajum.12402. eCollection 2024 Nov.
INTRODUCTION
Although the diagnosis of tinea capitis is mainly microbiological, the risk of evolution towards cicatricial alopecia in the most severe cases requires empirical treatment based on physical examination and complementary examinations.
METHODS
Two patients were evaluated by physical examination, cutaneous ultrasound and microbiological examination.
RESULTS
Ultrasound showed follicular widening and increased vascularization in Doppler mode. In one of them, the finding of severe inflammatory activity led to the indication of oral corticotherapy.
DISCUSSION
Cutaneous ultrasound could play a role not only in supporting the clinical diagnosis but that it may even guide the indication of treatment in the presence of severe inflammation that sometimes may not manifest itself clinically.
CONCLUSION
Cutaneous ultrasound may constitute an additional test of considerable usefulness in the diagnosis and evaluation of inflammatory activity in cases such as the ones presented, fast, non-invasive and of high accessibility.
引言
尽管头癣的诊断主要基于微生物学，但在最严重的病例中，发展为瘢痕性脱发的风险需要基于体格检查和辅助检查进行经验性治疗。
方法
对两名患者进行了体格检查、皮肤超声检查和微生物学检查。
结果
超声显示在多普勒模式下毛囊增宽和血管化增加。其中一名患者，严重炎症活动的发现导致了口服皮质类固醇疗法的指征。
讨论
皮肤超声不仅可以在支持临床诊断方面发挥作用，而且在存在有时可能在临床上不表现出来的严重炎症时，甚至可以指导治疗指征。
结论
皮肤超声可能是一种非常有用的辅助检查，可用于诊断和评估如本文所述病例的炎症活动，快速、无创且易于获得。
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