中国麻风皮肤病杂志 ›› 2022, Vol. 38 ›› Issue (3): 164-166.doi: 10.12144/zgmfskin202203164

• 临床研究 • 上一篇    下一篇

成人面部难辨认癣12例临床分析

张楠,何瑾,晁晓娟,陈文俊,王惠琳,孟继龙   

  1. 新疆军区总医院皮肤科，乌鲁木齐，830000
  • 出版日期:2022-03-15 发布日期:2022-01-04
  • 通讯作者: 王惠琳，E-mail: wanghuilinxh@126.com

Clinical analysis of 12 cases with facial tinea incognito in adults

ZHANG Nan, HE Jin, CHAO Xiaojuan, CHEN Wenjun, WANG Huilin, MENG Jilong   

  1. Department of Dermatology, General Hospital of Xinjiang Military Region, Urumqi 830000, China
  • Online:2022-03-15 Published:2022-01-04
  • Contact: WANG Huilin, E-mail: wanghuilinxh@126.com

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摘要： 回顾性分析我科自2013年1月至2019年6月成人面部难辨认癣患者的临床特点，共分析12例成人难辨认癣，其中男10例，女2例，年龄34~73岁，平均60.5岁，病程6~42个月，平均16.2个月。发病前均外用糖皮质激素类软膏。皮损表现：6例为湿疹样，3例为银屑病样，2例为脂溢性皮炎样，1例为玫瑰痤疮样。12例患者皮损真菌镜检均为阳性，7例真菌培养中4例为须癣毛癣菌，1例为红色毛癣菌。12例均合并足癣，2例合并股癣。

关键词: 难辨认癣, 临床特点

Abstract: The clinical data of 12 patients with tinea incognito in our department from January 2013 to June 2019 were analyzed retrospectively. Of 12 patients, 10 were male and 2 were female, aged from 34 to 73 years old, with an average age of 60.5 years. The course of disease ranged from 6 to 42 months, with an average of 16.2 months. All patients had a treatment history of glucocorticoid ointment. Of 12 patients, skin lesions manifested as eczema-like in 6, psoriasis-like in 3, seborrheic dermatitis-like in 2, rosacea-like in 1. Direct microscopic examination of fungi was positive in all cases. The fungal culture was performed in 7 cases, Trichophyton mentagrophytes was identified in 4 and 1 case was Trichophyllum rubra was identified in 1. All 12 cases were complicated with tinea pedis and 2 cases were complicated with tinea femoris.

Key words: tinea incognito, clinical profiles