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老年患者甲癣的临床真菌学研究

[Clinico-mycological study of onychomycosis in elderly patients].

作者信息

Rodríguez-Soto M E, Fernández-Andreu C M, Moya Duque S, Rodríguez Díaz R M, Martínez-Machín G

机构信息

Laboratorio de Micología, Instituto de Medicina Tropical Pedro Kouri (IPK), La Habana, Cuba.

出版信息

Rev Inst Med Trop Sao Paulo. 1993 May-Jun;35(3):213-7. doi: 10.1590/s0036-46651993000300001.

Abstract

Physical examination of nails was carried out in 210 elderly patients and nail scrapings were obtained from onychomycosis suggested lesions in order to determine their causative agents, incidence and clinical characteristics. Diagnostic was confirmed by the isolation of the agents from 74 patients, mainly from toe-nails (incidence 35.2). Tinea pedis occurred in 25% of the cases and Diabetes mellitus was the most prevalent associated disease and the most frequent clinical characteristics were the thickening, the opacity and the presence of longitudinal strias in the surface of the nails. It was compared the results obtained by microscopic examination and by culture. Trichophyton rubrum was the most common dermatophyte isolated; Candida parapsilosis was dominant among Candida species.

摘要

对210名老年患者进行了指甲体格检查,并从疑似甲癣病变处获取指甲刮屑,以确定其病原体、发病率和临床特征。从74名患者中分离出病原体,主要来自趾甲(发病率35.2),确诊为甲癣。25%的病例发生足癣,糖尿病是最常见的相关疾病,最常见的临床特征是指甲表面增厚、浑浊和出现纵嵴。比较了显微镜检查和培养所获得的结果。红色毛癣菌是最常见分离出的皮肤癣菌;近平滑念珠菌在念珠菌属中占主导地位。

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