中国麻风皮肤病杂志 ›› 2022, Vol. 38 ›› Issue (12): 869-871.doi: 10.12144/zgmfskin202212869

• 临床研究 • 上一篇    下一篇

耳真菌病合并耳前皮肤感染二例临床分析

柳君如1,赵峰镱1,陈丽艳2,刘晓洁3   

  1. 1烟台毓璜顶医院莱山分院皮肤科，烟台，264003；2烟台毓璜顶医院莱山分院耳鼻喉科，烟台，264003；3天津中医药研究院附属医院皮肤科，天津，300120
  • 出版日期:2022-12-15 发布日期:2022-10-26

Clinical analysis of two cases of otomycosis complicated with preauricular skin infection

LIU Junru1, ZHAO Fengyi1, CHEN Liyan2, LIU Xiaojie3   

  1. 1 Department of Dermatology, Laishan Branch of Yantai Yuhuangding Hospital, Yantai 264003, China; 2 Department of otolaryngology, Laishan Branch of Yantai Yuhuangding Hospital, Yantai 264003, China; 3 Department of Dermatology, Affiliated Hospital of Tianjin Research Institute of Traditional Chinese Medicine, Tianjin 300120, China
  • Online:2022-12-15 Published:2022-10-26

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摘要： 耳真菌病可累及周围皮肤组织，造成耳外浅表皮肤真菌感染，并诱发皮肤组织出现湿疹样非特异性炎症改变，本文报道耳真菌病并耳外皮肤真菌感染二例。患者首诊于耳鼻喉科，耳内窥镜检查可查见外耳道深部大量污白色/淡黄色霉样痂皮，均可见绒毛状菌丝及奶酪样分泌物。耳内分泌物真菌免疫荧光检测可见形态各异菌丝结构。后转诊皮肤科，查体可见耳外皮肤红斑上游离状白色鳞屑或红斑、浆液性痂等湿疹样改变；皮肤镜检查提示银白色波纹样鳞屑、毛囊内脓疱，点状血管等征象。真菌菌种镜检：曲霉菌属。

关键词: 耳真菌病, 真菌荧光染色, 皮肤镜；耳内窥镜

Abstract: Otomycosis could affect the surrounding skin tissue, cause superficial skin fungal infection, and induce eczema-like lesions. We report two cases of otomycosis and dermomycosis. The patient first visited to otolaryngology and a large amount of foul white/light yellow mildew crusts, villous hyphae and cheese-like secretions were found under otoendoscopy, various mycelium structures were observed by fluorescence staining. Then the patients visited to the department of dermatology, physical examination showed dissociated white scales, erythema, serous scabs and eczema-like changes. Ripple silver-white scales, follicle pustules, and dotted vessels were found under dermoscope. Aspergillus was identified under microscopic.

Key words: otomycosis, fungal fluorescence staining, dermatoscopy, otoendoscopy