Khorchani H, Haouet H, Amri M, Zanned I, Babba H, Azaiz R
Service de Dermatologie, CHU Monastir.
Arch Inst Pasteur Tunis. 1996 Jul-Oct;73(3-4):179-84.
Despite of socio-economical improvement in our population and the efficacy of available antifungal treatment, superficial mycoses remain a common condition in dermatologic practice. To determine the epidemio-clinical pattern of superficial mycoses in our region, a retrospective study of 3578 cases have been carried out in the Department of Dermatology of the University Hospital of Monastir during a 4 year-period. The mean age of patients was 33 years (range: 6 months-91 years). The male to female sex-ratio was 0.82. Rural origin, history of previous mycoses, diabetes, topic or systemic corticosteroids and the presence of animals in surroundings were the most predisposing factors. The most frequent clinical patterns were: tinea corcoris and pedis (40.3%), Tinea versicolor (21.6%), Tinea capitis (9.7%) dermatophytosis of hairless skin (9.6%) and onychomycosis (8.6%). Dermatophyte was the most frequent (55.5%). The occurrence of superficial mycose especially if it affects diffuse area of the body, or if it is relapsing and resistant to treatment, requires looking for predisposing factors.
尽管我们的人群在社会经济方面有所改善，且现有的抗真菌治疗有效，但浅表真菌病在皮肤科实践中仍然是一种常见疾病。为了确定我们地区浅表真菌病的流行病学临床模式，在莫纳斯提尔大学医院皮肤科对3578例病例进行了为期4年的回顾性研究。患者的平均年龄为33岁（范围：6个月至91岁）。男女比例为0.82。农村出身、既往真菌病史、糖尿病、局部或全身使用皮质类固醇以及周围环境中有动物是最主要的诱发因素。最常见的临床类型为：体癣和足癣（40.3%）、花斑癣（21.6%）、头癣（9.7%）、无毛皮肤皮肤癣菌病（9.6%）和甲癣（8.6%）。皮肤癣菌最为常见（55.5%）。浅表真菌病的发生，尤其是如果它累及身体的弥漫性区域，或者如果它复发且对治疗有抗性，则需要寻找诱发因素。
