常见儿童真菌性皮肤病的诊断与治疗  

Diagnosis and Treatment of Common Fungal Infections in Children

作　　者：朱敬先[1] 

机构地区：[1]河北医科大学第四医院皮肤性病科,河北石家庄050000

出　　处：《皮肤科学通报》2017年第5期522-530,共9页Dermatology Bulletin

摘　　要：儿童真菌性皮肤病占儿童皮肤病的0.5%~10.0%,男性多于女性。常见的儿童浅表性真菌性皮肤病有头癣、体股癣、手足癣、甲真菌病及花斑糠疹。根据临床表现及实验室检查即可做出诊断。头癣的治疗采用以口服药为主的综合疗法;体股癣、手足癣及花斑糠疹以局部治疗为主;不同临床类型的甲真菌病其治疗方法亦有不同。常用于儿童真菌性皮肤病的口服抗真菌剂有特比萘芬、伊曲康唑及氟康唑。The prevalence rate of fungal infections ranges from 0. 5% to 10. 0% in children＇s skin disease,in particular,the number of male patients is more than it of the females.The common superficial fungal infections in children are tinea capitis,tinea corporis and tinea cruris,tinea manuum and pedis,onychomycosis and pityriasis versicolor.They can be diagnosed according to the clinical manifestation and the labortory examination. Tinea capitis always requires systemic treatment,while topical treatment is only used as adjuvant therapy to systemic antifungals for the disease,such as tinea corporis and tinea cruris,tinea manuum and pedis as well as pityriasis. The treatment to the onychomycosis depends on its different clinical types. Common oral antifungal agents used on children are Terbinafine,Itraconazole and Fluconazole.

关 键 词：儿童 真菌性皮肤病 头癣 体股癣 手足癣 甲真菌病 花斑糠疹 

分 类 号：R756[医药卫生—皮肤病学与性病学] R339.31[医药卫生—临床医学]