24例儿童脓癣临床分析  

Report of 24 cases of kerion in children

作　　者：王静 尹瑞瑞 张芙蓉[2] 陈萍 杨国玲 WANG Jing;YIN Ruirui;ZHANG Furong;CHEN Ping;YANG Guoling(Department of Dermatology,Xuzhou children's hospital,Xuzhou Medical University,xuzhou 221006,China;Department of Dermatology,Dalian Friendship Hospital,Dalian 116001,China;Department of Dermatology,Shenzhen University General Hospital, Shenzhen 518100,China)

机构地区：[1]徐州医科大学附属徐州儿童医院,徐州221006 [2]大连市友谊医院皮肤科,大连116001 [3]深圳大学总医院皮肤科,深圳518100

出　　处：《中国真菌学杂志》2022年第3期195-199,共5页Chinese Journal of Mycology

基　　金：江苏省青年医学重点人才培养资助项目(QNRC2016374)。

摘　　要：目的探讨儿童脓癣的临床特征。方法回顾性分析24例儿童脓癣患者的临床资料及照片,分析患儿的一般资料、临床特征、治疗情况及随访。结果24例脓癣中,单发脓肿型21例,多发毛囊炎型3例;16例有饲养宠物史(主要为猫、犬、兔子),7例家庭成员有足癣病史,1例有外伤史;经口服抗真菌药物联合口服强的松片再辅以外用抗真菌药物规范治疗,所有患儿在6~8周内临床和真菌学治愈,未出现不良反应,5例留下不同程度疤痕。结论儿童脓癣容易误诊,应提高认识;真菌荧光染色直接镜检法阳性率高;特比萘芬安全有效,使用方便,可以作为儿童脓癣一线药物。Objective To analyze the clinical characteristics of 24 kerion children cases.Methods The basic information,clinical manifestations,infective pathway,therapies and following-up of patients were retrospectively analyzed.Results All the cases can be divided into two types single abscess type for 19 cases and multiple folliculitis type for 5 cases.Keeping pets(mainly cats,dogs and rabbits)in 16 cases,tinea pedis of families in 7 cases,a traumatic history in one case were been found.All cases were cured by oral terbinafine and low-dose glucocorticosteroid、antimycotic drugs within 6-8 weeks without adverse reactions.But five cases remained permanent atrophic scar.Conclusion Fungal fluorescence staining can improve the positive diagnostic rate of kerion.Terbinafine is safe and effective,easy to use,and can be used as the first-line drug for children's kerion.

关 键 词：儿童 脓癣 真菌荧光染色 特比萘芬 

分 类 号：R756.1[医药卫生—皮肤病学与性病学]