655例孢子丝菌病临床流行病学特征分析  

Epidemiological and clinical characteristics of 655 cases of sporotrichosis

作　　者：郭亚南 刘慧瑜[2] 侴梦微 刘冰梅 韩梦竹 于龙[2] GUO Ya-nan;LIU Hui-yu;CHOU Meng-wei;LIU Bing-mei;HAN Meng-zhu;YU Long(Department of Dermatology,Nangang Hospital,Heilongjiang Provincial Hospital,Harbin Institute of Technology;Department of Dermatology,The First Affiliated Hospital of Harbin Medical University,Harbin 150001,China;Department of Dermatology,The First Affiliated Hospital of Huzhou Normal University,Huzhou 313000,China)

机构地区：[1]哈尔滨工业大学附属黑龙江省医院南岗院区皮肤科 [2]哈尔滨医科大学附属第一医院皮肤科,黑龙江哈尔滨150001 [3]湖州师范学院附属第一医院皮肤科,浙江湖州313000

出　　处：《皮肤性病诊疗学杂志》2020年第6期392-396,共5页Journal of Diagnosis and Therapy on Dermato-venereology

基　　金：黑龙江省青年科学基金(编号:QC2012C028)。

摘　　要：目的:分析孢子丝菌病临床流行病学特征,为孢子丝菌病诊疗及流行提供依据。方法:回顾性分析2016年6月至2018年6月确诊且资料完整的655例皮肤型孢子丝菌病患者,分析患者一般资料、临床表现、皮损分布、既往诊治情况等。结果:655例患者中,男253例,女402例,男女比例1∶1.59;年龄3个月~81岁,36~65岁占67.79%;病程4天~8年,2~4个月占60.92%。临床以固定型(77.25%)和淋巴管型(21.83%)为主,以丘疹结节损害居多,主要分布于面部(51.45%)和四肢(43.82%)。133例有明确外伤史。499例(76.18%)患者有该病既往外院就诊史,其中误诊293例(58.72%)。误诊疾病以皮肤感染、皮炎诊断最多。结论:孢子丝菌病临床表现多样,以固定型和淋巴管型表现为主,主要累及面部、躯干,误诊率高,临床医师应提高对该病的认识。Objective:To analyze the epidemiological and clinical characteristics of sporotrichosis,and provide evidences for the diagnosis and treatment of sporotrichosis.Methods:A retrospective analysis was performed on 655 patients with cutaneous sporotrichosis from June 2016 to June 2018.The demographic characteristics,clinical and epidemiological characteristics,and the data of previous diagnosis and treatment were analyzed.Results:Among the 655 patients,there were 253 males and 402 females.The male to female ratio was 1∶1.59.The age ranged for 3 months old to 81 years old,and the common patients′age was between 36 and 65 years old(67.79%).The disease course was more common in 2~4 months of 399 cases(60.92%).The shortest course was 4 days and the longest course was 8 years.Clinically,both the fixed type(77.25%)and the lymphatic type(21.83%)were the main types,and the papular nodule lesions were mostly distributed on face(51.45%)and limbs(43.82%).133 cases had a clear history of trauma.499 cases(76.18%)had a history of previous consultations with the disease,and the misdiagnosis rate was 58.72%.Skin infections and dermatitis are the most commonly misdiagnosed diseases.Conclusions:Sporotomycosis has various clinical manifestations,and the common types are fixed and lymphatic types which impact the face and trunk.

关 键 词：孢子丝菌病 临床分型 皮疹表现 流行病学 

分 类 号：R756[医药卫生—皮肤病学与性病学]