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中国真菌学杂志 2014, Vol. 9  Issue (4): 237-240.

真菌病治疗 上一篇    下一篇

儿童头癣33例临床分析

高宇, 钱桂萍   

  1. 江苏省泰州市姜堰区皮肤病防治所, 泰州 225500
  • 收稿日期:2014-04-23 出版日期:2014-08-28 发布日期:2014-08-28
  • 作者简介:高宇,男(汉族),硕士,主治医师.E-mail:gyqgp@sina.com

Clinical analysis of 33 cases of tinea capitis in children

GAO Yu, QIAN Gui-ping   

  1. The prevention and treatment of skin diseases in Jiangyan region of Jiangsu Province, Taizhou 225500, China
  • Received:2014-04-23 Online:2014-08-28 Published:2014-08-28

摘要: 目的 观察姜堰地区儿童头癣流行病学、 传播方式、 病原菌及治疗结果。方法 对我科2006年8月~2013年5月诊治的33例儿童头癣病例进行总结分析。结果 33例儿童头癣中白癣24例、黑癣5例、脓癣4例;男19例、女14例;犬小孢子菌22例、紫色毛癣菌2例、须癣毛癣菌3例、断发毛癣菌3例、红色毛癣菌1例、石膏样小孢子菌2例。患者中有动物接触史的占42.42% (14/33)。经口服特比萘芬或伊曲康唑6~8周,每日用硫磺皂洗头,局部外用萘替芬酮康唑乳膏均取得满意疗效。8周时治愈率分别为87.50%和88.24%,真菌清除率分别为100%和94.12%。结论 近年来本病增多的原因与喂养猫、犬等宠物有关,主要病原菌是亲动物的犬小孢子菌,经综合治疗,疗效满意。

关键词: 头癣, 儿童, 病原菌, 治疗

Abstract: Objective To observe epidemiology, transmission, pathogens and treatment effects of tinea capitis in children in Jiangyan areas.Methods In August 2006-May 2013,33 cases of tinea capitis in children were analyzed for diagnosis and treatment.Results In the 33 cases of tinea capitis in children,there were 24 cases of white ringworm,5 cases of black ringworm and 4 case of kerions,19 males and 14 females.The pathogenic fungi were Microsporum canis (22 cases),Trichophyton violaceum (2 cases),Trichophyton mentagrophytes (3 cases),Trichophyton tonsurans (3 cases),Trichophyton rubrum (1 case),Microsporum gypseum (2 cases). Patients with animals contact history accounted for to 42.42% (14/33).Administrated with terbinafine or itraconazole orally for 6 to 8 weeks, daily washing hair with sulfur soap,using ketoconazole naftifine cream topically,patients all got satisfied curative effect.The cure rate were 87.5% and 88.24%, the fungal clearance rates were 100% and 94.12% respectively at 8 weeks.Conclusion In recent years, the reason for the increase of the disease is related to feed cats, dogs and other pets, the main pathogens were Microsporum canis dear animal.The comprehensive treatment, curative effect is satisfied.

Key words: tinea capitis, children, pathogens, treatment

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