耳真菌病合并耳前皮肤感染二例临床分析  

Clinical analysis of two cases of otomycosis complicated with preauricular skin infection

作　　者：柳君如 赵峰镱 陈丽艳[2] 刘晓洁 LIU Junru;ZHAO Fengyi;CHEN Liyan;LIU Xiaojie(Department of Dermatology,Laishan Branch of Yantai Yuhuangding Hospital,Yantai 264003,China;Department of otolaryngology,Laishan Branch of Yantai Yuhuangding Hospital,Yantai 264003,China;Department of Dermatology,Affiliated Hospital of Tianjin Research Institute of Traditional Chinese Medicine,Tianjin 300120,China)

机构地区：[1]烟台毓璜顶医院莱山分院皮肤科,烟台264003 [2]烟台毓璜顶医院莱山分院耳鼻喉科,烟台264003 [3]天津中医药研究院附属医院皮肤科,天津300120

出　　处：《中国麻风皮肤病杂志》2022年第12期869-871,共3页China Journal of Leprosy and Skin Diseases

摘　　要：耳真菌病可累及周围皮肤组织,造成耳外浅表皮肤真菌感染,并诱发皮肤组织出现湿疹样非特异性炎症改变,本文报道耳真菌病并耳外皮肤真菌感染二例。患者首诊于耳鼻喉科,耳内窥镜检查可查见外耳道深部大量污白色/淡黄色霉样痂皮,均可见绒毛状菌丝及奶酪样分泌物。耳内分泌物真菌免疫荧光检测可见形态各异菌丝结构。后转诊皮肤科,查体可见耳外皮肤红斑上游离状白色鳞屑或红斑、浆液性痂等湿疹样改变;皮肤镜检查提示银白色波纹样鳞屑、毛囊内脓疱,点状血管等征象。真菌菌种镜检:曲霉菌属。Otomycosis could affect the surrounding skin tissue,cause superficial skin fungal infection,and induce eczema-like lesions.We report two cases of otomycosis and dermomycosis.The patient first visited to otolaryngology and a large amount of foul white/light yellow mildew crusts,villous hyphae and cheese-like secretions were found under otoendoscopy,various mycelium structures were observed by fluorescence staining.Then the patients visited to the department of dermatology,physical examination showed dissociated white scales,erythema,serous scabs and eczema-like changes.Ripple silver-white scales,follicle pustules,and dotted vessels were found under dermoscope.Aspergillus was identified under microscopic.

关 键 词：耳真菌病 真菌荧光染色 皮肤镜 耳内窥镜 

分 类 号：R519[医药卫生—内科学]