儿童面癣误诊1例分析  

Misdiagnosis of Tinea Facialis in Children:A Case Report

作　　者：王胜春 卢红铮 宋俐 WANG Shengchun;LU Hongzheng;SONG Li(Children,s Hospital Affiliated of Zhengzhou University,Henan Children1’s Hospital,Zhengzhou Children,Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州大学附属儿童医院河南省儿童医院郑州儿童医院皮肤科,河南郑州450000

出　　处：《皮肤科学通报》2022年第2期164-165,M0008,共3页Dermatology Bulletin

摘　　要：患儿男,7岁,面部红斑脱屑伴瘙痒2个月,当地曾按口周皮炎、接触性皮炎诊治,皮损短暂好转后范围扩大。皮肤科情况:口角外侧对称分布边界清楚的环形红色斑块,斑块中心皮损较轻,边缘略隆起,其上见丘疹、脓疱、鳞屑。真菌镜检可见菌丝,真菌培养为石膏样小孢子菌。诊断:面癣。予特比萘芬片口服治疗4周,外用萘替芬酮康唑乳膏,皮损完全消退,随访3个月无复发。A 7-year-old boy with facial erythema scaling and pruritus for 2 months had been diagnosed as perioral dermatitis and contact dermatitis,and the condition gradually expanded after a brief improvement.The physical examination showed annular red patches with clear boundary symmetrically distributed on the outside of the corner of the mouth.The skin lesions in the center of the plaque were light,the edges slightly raised,and papules,on which were pustules and scabs.Microscopic examination of fungi showed hyphae,and the fungi were cultured as Microsporum gypseum.Diagnosis:tinea facialis.After treatment with terbinafine tablets and naftifen ketoconazole cream for 4 weeks,the skin lesions completely subsided,and there was no recurrence after follow-up for 3 months.

关 键 词：面癣 儿童 误诊 

分 类 号：R756.1[医药卫生—皮肤病学与性病学]