72例头癣患儿真菌荧光染色与皮肤镜特征分析  

Analysis of fungal fluorescence staining and dermatoscopy characteristics in 72 children with tinea capitis

作　　者：马欣[1,2] 张艳丽 MA Xin;ZHANG Yanli(Ningxia Medical University General Hospital,Yinchuan 750001,China;Ningxia Medical University,Yinchuan 750001,China)

机构地区：[1]宁夏医科大学总医院皮肤科,银川750001 [2]宁夏医科大学基础学院,银川750001

出　　处：《中国真菌学杂志》2024年第4期348-351,共4页Chinese Journal of Mycology

摘　　要：目的研究拟通过真菌荧光染色镜检技术结合皮肤镜分析不同临床类型头癣的特点,为临床提供准确、快速诊断头癣的依据。方法收集72例头癣患儿,使用荧光染色法结合皮肤镜观察头癣病发的主要特征;观察随访患儿治疗后荧光染色法及皮肤镜特殊表征是否同时转阴。结果根据临床特征,72例头癣患儿以白癣为主,占58.33%(42/72);荧光染色法阳性率100%,发外孢子占比最高,为62.50%(45/72);皮肤镜诊断的阳性率100%,皮肤镜检查白癣以断发(90.48%)为主、脓癣以脓疱(100%)为主,以逗号发/螺旋发/条码样发为特殊的表征;随访率为59.72%(43/72)。结论真菌荧光染色法结合皮肤镜特征能对头癣疾病及其临床类型做出快速且准确的诊断。Objective To study the characteristics of different clinical types of tinea capitis using fungal fluorescence staining microscopy combined with dermatoscopy,in order to provide accurate and rapid diagnostic basis for clinical practice.Method Seventy-two children cases with tinea capitiswere collected.Using fluorescence staining combined with dermatoscopy to observe the main characteristics of tinea sctinea capitisalp,and to observe whether the fluorescence staining method and dermatoscopy special characterization of these cases turned negative at the same time after treatment.Result According to clinical characteristics,72 children with tinea capitis were mainly diagnosed with tinea alba,accounting for 58.33%(42/72);The positive rate of fluorescence staining was 100%,with the proportion of exospores at 62.50%(45/72);Dermatoscopic examination showed that tinea capitis was mainly characterized by broken hair(90.48%),while kerion was mainly characterized by pustules(100%),with comma hair/spiral hair/barcode like hair as special features.The follow-up rate was 59.72%(43/72).Conclusion Fungal fluorescence staining combined with dermatoscopy examination can make rapid and accurate diagnosis of tinea capitis and its clinical types.

关 键 词：头癣 荧光染色法 皮肤镜 

分 类 号：R756.1[医药卫生—皮肤病学与性病学]