中国麻风皮肤病杂志 ›› 2022, Vol. 38 ›› Issue (8): 509-512.doi: 10.12144/zgmfskin202208509

• 论著 • 上一篇    下一篇

五例成年女性头癣临床表现及病原菌分析

郭艳阳,海璐明,闫东,朱冠男,付萌   

  1. 第四军医大学西京皮肤医院，陕西西安，710032
  • 出版日期:2022-08-15 发布日期:2022-06-22

Clinical manifestations and pathogenic bacteria of tinea capitis in 5 women

GUO Yanyang, HAI Luming, YAN Dong, ZHU Guannan, FU Meng   

  1. Department of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, China
  • Online:2022-08-15 Published:2022-06-22

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摘要： 成人头癣感染因症状轻微，临床表现不典型，易造成误诊误治，本文回顾性分析5例成人头癣患者的临床表现、病原菌检查及治疗。5例患者均为女性，年龄26～75岁，平均年龄54.4岁，其中4例绝经，1例有使用免疫抑制剂史。3例患者为紫色毛癣菌感染，并有使用同一理发器具史，临床表现为脂溢性皮炎样及脓疱损害，轻微脱发。2例患者为犬小孢子菌感染，表现为局限性脱发、红斑、脓疱等。5例患者均给予伊曲康唑胶囊联合外用硝酸舍他康唑乳膏，3例患者已痊愈，随访半年，未见复发。2例患者用药不规律，治疗效果欠佳，后失访。

关键词: 成年女性, 头癣, 紫色毛癣菌, 犬小孢子菌

Abstract: Adult tinea capitis is easily misdiagnosed due to its mild symptoms and atypical clinical manifestations. We retrospectively analyzed 5 women with tinea capitis, including clinical manifestations, microscopic examination and culture of fugus. All the 5 patients were female, aged from 26 to 75 years, with an average age of 54.4 years. Of them, 4 were postmenopausal women and 1 had a history of using immunosuppressants. Three patients who infected with Trichophyton purpureum presented with seborrheic dermatitis and pustular damage and had a history of sharing the same hairdressing instrument. Two patients who infected with Microsporum canis presented with localized alopecia, inflammatory erythema and pustules, etc. All 5 patients were given itraconazole capsule combined with external sertaconazole nitrate cream. Three patients cured and  after a year follow-up with no recurrence. Two patients with irregular medication had poor efficacy, then lost follow up.

Key words: women, tinea capitis, Trichophyton violaceum, Microsporum canis