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Tinea faciei in a newborn due toTrichophyton tonsurans 被引量:3
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作者 Meihua Fu Yiping Ge +4 位作者 Wei Chen Suying Feng Xiaodong She Xiaofang Li Weida Liu 《The Journal of Biomedical Research》 CAS 2013年第1期71-74,共4页
We report here the first case of neonatal tinea faciei caused by Trichophyton tonsurans in China's Mainland. The mother of the infant had tinea corpris and tinea capitis while the father had tinea incongnito. The ... We report here the first case of neonatal tinea faciei caused by Trichophyton tonsurans in China's Mainland. The mother of the infant had tinea corpris and tinea capitis while the father had tinea incongnito. The infections in the parents were mycologically confirmed to be due to Trichophyton tonsurans. Ttinea faciei in the infant was cured after two-week topical use of amorolfine cream. The mother ceased breastfeeding and took oral terbinafine for 4 weeks. No recurrence was observed in the infant during 12 months of follow-up. 展开更多
关键词 tinea faciei Trichophyton tonsurans NEONATAL
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Tinea Capitis in Adults 被引量:1
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作者 Ornella Cervetti Paola Albini +3 位作者 Veronica Arese Federica Ibba Manuela Novarino Michele Panzone 《Advances in Microbiology》 2014年第1期12-14,共3页
Objective: To determine the epidemiology and the aetiology of tinea capitis in the elderly in Turin (Italy). Methods: We prospectively collected all cases of adult tinea capitis in the Dermatology Clinic of the Univer... Objective: To determine the epidemiology and the aetiology of tinea capitis in the elderly in Turin (Italy). Methods: We prospectively collected all cases of adult tinea capitis in the Dermatology Clinic of the University of Turin from January 1997 to December 2012. Results: 13 patients (4 males and 9 females) with a mean age of 56.5 years were found to be affected by tinea capitis among a total number of 508 (2.6%). Diagnosis was made on clinical appearance and mycological examination. Culture identified M. canis in 7 patients (53.8%), T. mentagrophytes in 3 patients (23.1%), T. rubrum in 2 patients (15.4%) and T. violaceum in 1 patient (7.7%). 6 cases reported contact with animals. Treatment consisted in administration of Griseofulvin at the dose of 500 mg/d or Terbinafine at the dose of 250 mg/d for at least 8 weeks. A complete recovery was observed in 10 patients, whereas 3 of them suffered from cicatritial alopecia. Conclusion: This study wants to highlight the importance of considering tinea capitis as a differential diagnosis in elderly patients with scaly scalp lesions, even though it is considered to be rare in adults. 展开更多
关键词 DERMATOPHYTOSIS tinea Capitis SCALP Ringworm ADULTS ELDERLY
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Ginkgo paste improves tinea corporis in a guinea pig model
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作者 LIHUA CAO MINGSAN MIAO +3 位作者 YAN ZHENG HUIYAUN HUANG RUI ZHANG DANDAN LIU 《BIOCELL》 SCIE 2020年第4期649-653,共5页
To investigate the effects of Ginkgo paste for external use on tinea corporis in a guinea pig model.The guinea pig tinea corporis model were induced by infection with Trichophyton mentagrophytes strains.And then,high ... To investigate the effects of Ginkgo paste for external use on tinea corporis in a guinea pig model.The guinea pig tinea corporis model were induced by infection with Trichophyton mentagrophytes strains.And then,high and low doses of Ginkgo water-paste and alcohol-paste were administrated to the animals.The symptom,tinea corporis skin lesions and histopathological aspects of guinea pig were analyzed.High and low doses of Ginkgo alcohol-paste and Ginkgo water-paste could significantly reduced the tinea corporis symptom(P<0.01),increased negative rate of strain culture(P<0.01),and improved pathological changes of tinea corporis(P<0.01).The best efficacy was observed in high dose ginkgo alcohol paste group.These results suggest that Ginkgo paste exhibits the efficacy to treat tinea corporis in a guinea pig model. 展开更多
关键词 GINKGO ALCOHOL PASTE tinea corporis GUINEA PIG
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Inflammatory Tinea Manuum due to <i>Trichophyton erinacei</i>from an African Hedgehog
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作者 Coronado-Aguilar Alejandra Perez-Olivos Mirta de Lourdes +3 位作者 Mayorga-Garibaldi Jorge Leonardo Mayorga-Rodríguez Jorge Córdova-Martínez Erika Hernandez-Hernandez Francisca 《Advances in Microbiology》 2018年第12期1021-1028,共8页
The zoophylic dermatophytes, as Trichophyton erinacei, frequently cause very inflammatory tineas in the human host. This dermatophyte is carried by some pets, particularly by the terrestrial hedgehog. Herein, we prese... The zoophylic dermatophytes, as Trichophyton erinacei, frequently cause very inflammatory tineas in the human host. This dermatophyte is carried by some pets, particularly by the terrestrial hedgehog. Herein, we present the case of a 22-year-old male student with an exudative erythematous scaly plaque on his right fifth finger for 1 month. He had a pet African hedgehog (Atelerix albiventris). KOH examination demonstrated hyphae compatible with dermatophytes. The culture revealed a white, radiated dusty colony. PCR sequencing of the region ITS1-5.8S-ITS2 identified T. erinacei. The final diagnosis was inflammatory tinea manuum due to T. erinacei. Clinical and mycological cure was achieved after treatment with oral terbinafine 250 mg/day × 1 month. 展开更多
关键词 TRICHOPHYTON erinacei HEDGEHOG tinea DERMATOPHYTES
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Tinea incognito due tomicrosporum gypseum
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作者 Chunshui Yu Jingguo Zhou Jianping Liu 《The Journal of Biomedical Research》 CAS 2010年第1期81-83,共3页
A 41-year-old woman presented with a pruritic rash on the face that was of 3 months duration.During that time,it had been successively misdiagnosed as psoriasis vulgaris,systemic lupus erythematosus,facial dermatitis ... A 41-year-old woman presented with a pruritic rash on the face that was of 3 months duration.During that time,it had been successively misdiagnosed as psoriasis vulgaris,systemic lupus erythematosus,facial dermatitis at other hospitals,and had been treated with agents that included acitretin and prednisone.Finally,fungi were found in the lesions by optical microscopy,and the fungal culture was positive for Microsporum gypseum,and was diagnosed as a Microsporum gypseum infection.The lesions eventually cleared completely after 8 weeks of antifungal treatment. 展开更多
关键词 tinea incognito Microsporum gypseum
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A Prospective Single-Arm Investigation Assessing Performance of a Multifunctional Foot Cream in Subjects with Tinea Pedis Interdigitalis and Heel Cracks, Calluses and/or Dry Feet
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作者 Martin Lundvall Kaj Stenlof Jan Faergemann 《Journal of Cosmetics, Dermatological Sciences and Applications》 2020年第1期20-27,共8页
This prospective, open-label, single-arm investigation evaluated the performance of a multifunctional foot cream used twice daily for 8 weeks in the combined treatment of mild/moderate tinea pedis interdigitalis (TPI)... This prospective, open-label, single-arm investigation evaluated the performance of a multifunctional foot cream used twice daily for 8 weeks in the combined treatment of mild/moderate tinea pedis interdigitalis (TPI) and heel cracks, calluses and/or dry feet in 46 adult subjects. All subjects showed reductions in the severity of symptoms of both TPI (53.7% reduction) and heel cracks, calluses and/or dry feet (51.6% reduction), beginning already after 2 weeks of treatment, with reduction continuation and improvement after 4 and 8 weeks of treatment. Negative mycological cultures were obtained post-treatment in 85.7% of subjects, while 35.7% of subjects also obtained mycological cure (negative mycological culture + negative KOH test). Post-treatment questionnaires showed improved quality of life, good treatment tolerability, easy use, and that 69% of subjects would recommend the product. The results reveal that the foot cream is safe and effective in the combined treatment of TPI and heel cracks, calluses and/or dry feet. 展开更多
关键词 tinea Pedis Interdigitalis 1 5-Pentanediol Heel Cracks Calluses Dry Feet
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Observation of the clinical efficacy of traditional Chinese medicine detoxifying wash in treating tinea versicolor with gastrointestinal dampness-heat syndrome
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作者 Yan Wang Zhenlin Chen +2 位作者 Wen Xin Wenna Li Tiantian Gao 《Guideline and Standard in Chinese Medicine》 2025年第2期173-177,共5页
Objective:To observe the clinical efficacy and safety of traditional Chinese medicine(TCM)detoxifying wash in the treatment of tinea versicolor with gastrointestinal dampness-heat syndrome.Methods:Ninety-three patient... Objective:To observe the clinical efficacy and safety of traditional Chinese medicine(TCM)detoxifying wash in the treatment of tinea versicolor with gastrointestinal dampness-heat syndrome.Methods:Ninety-three patients with tinea versicolor were randomly divided into observation group(48 cases)and control group(45 cases).This study was a single-blind,randomized controlled trial.The observation group was treated with external application of detoxifying wash,whereas the control group was treated with 1%bifonazole solution.Both groups received treatment for 20 days,with 10 days as one course.The clinical efficacy and adverse reactions were recorded after treatment.Results:After treatment,the observation group showed significant improvement in clinical indicators,including erythema,scales,itching,and skin greasiness.After 10 days of treatment,there was no significant difference in clinical efficacy between the two groups.After 20 days,the cure rate,effective rate,and fungal clearance rate in the observation group were higher than those of the control group,indicating superior clinical efficacy.No significant adverse reactions were observed in either group during treatment.Conclusion:Detoxifying wash is safe and effective in treating tinea versicolor with gastrointestinal dampness-heat syndrome. 展开更多
关键词 detoxifying wash tinea versicolor efficacy observation
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老年女性红色毛癣菌致难辨认癣并足癣甲癣1例
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作者 袁春霞 陈健 +5 位作者 刘小萍 张怀健 郑春娇 何文婧 杨连娟 余茜 《中国真菌学杂志》 2026年第1期84-86,共3页
患者,女,73岁,因“面部红斑、丘疹1个月余,伴瘙痒”就诊。患者1个月前无明显诱因出现口周和鼻唇沟瘙痒皮损,外院诊断为“皮炎”,予以糠酸莫米松乳膏外涂,无好转。1周前患者来上海市皮肤病医院就诊,诊断为脂溢性皮炎,予以他克莫司软膏外... 患者,女,73岁,因“面部红斑、丘疹1个月余,伴瘙痒”就诊。患者1个月前无明显诱因出现口周和鼻唇沟瘙痒皮损,外院诊断为“皮炎”,予以糠酸莫米松乳膏外涂,无好转。1周前患者来上海市皮肤病医院就诊,诊断为脂溢性皮炎,予以他克莫司软膏外涂,仍无好转,故再次于上海市皮肤病医院就诊。予完善实验室检查,面部皮屑真菌直接镜检阳性,真菌培养为红色毛癣菌。再次行全面的体格检查,发现足癣及趾甲真菌感染表现,真菌检查证实病原菌亦为红色毛癣菌,最终诊断为:面癣(难辨认癣)、足癣、甲癣。面部、足部外用联苯苄唑乳膏联合特比萘芬乳膏2次/d,趾甲予以30%冰醋酸和盐酸阿莫罗芬乳膏外用,治疗2周后,面部皮损完全消退,趾甲病变继续随访中。 展开更多
关键词 难辨认癣 红色毛癣菌 面癣
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盐酸特比萘芬乳膏外用联合灰黄霉素口服治疗儿童头癣的美学效果观察
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作者 热依拉·阿不烈孜 吾甫·卡司木 +1 位作者 姬名硕 帕丽达·阿布利孜 《中国美容医学》 2026年第3期105-108,共4页
目的:探究盐酸特比萘芬乳膏外用联合灰黄霉素口服治疗儿童头癣的美学效果。方法:纳入2023年4月-2025年4月笔者医院收治的头癣患儿234例,根据就诊次序采用随机数字表法随机分为对照组(n=117,灰黄霉素口服)和观察组(n=117,盐酸特比萘芬乳... 目的:探究盐酸特比萘芬乳膏外用联合灰黄霉素口服治疗儿童头癣的美学效果。方法:纳入2023年4月-2025年4月笔者医院收治的头癣患儿234例,根据就诊次序采用随机数字表法随机分为对照组(n=117,灰黄霉素口服)和观察组(n=117,盐酸特比萘芬乳膏外用联合灰黄霉素口服),比较两组治疗前和治疗12周后头皮严重指数评分,比较两组临床症状消失时间、家长美观满意度、不良反应发生率。结果:与对照组比较,观察组患儿治疗12周后头皮严重指数各维度评分更低(P<0.05);与对照组相比,观察组患儿症状消失时间更短(P<0.05);观察组家长美观总满意度(96.58%)高于对照组(89.75%)(P<0.05);两组不良反应总发生率比较,差异无统计学意义(P=0.518)。结论:盐酸特比萘芬乳膏外用联合灰黄霉素口服治疗儿童头癣,能够更好地改善头癣症状,促进患儿康复,且具有更好的美学效果,具有安全性。 展开更多
关键词 盐酸特比萘芬乳膏 灰黄霉素 儿童头癣 美学效果
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Clinical and Experimental Studies on Composite Divitriol Infusion in Treating Tinea Manum
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作者 杨志波 欧阳恒 李先春 《Chinese Journal of Integrative Medicine》 SCIE CAS 1999年第2期115-117,共3页
Objective: To investigate the effect of Composite Divitriol Infusion (CDI) in treating tinea manum and study its antimycotic action.Methods: CDI was used to treat 139 patients with tinea manum and compared with Tinea ... Objective: To investigate the effect of Composite Divitriol Infusion (CDI) in treating tinea manum and study its antimycotic action.Methods: CDI was used to treat 139 patients with tinea manum and compared with Tinea Unguium Infusion in treating 77 cases as control. The experimental study in vivo was done, and electron microscopy (EM) was used to observe the therapeutical effect of CDI.Results: Among the 139 patients of the CDI group, 104 were cured, 21 markedly effective, 10 improved and 4 ineffective, the cure and markedly effective rate being 89.9%. The difference of effect between the CDI group and the control group was significant statistically (X 2>12.84,P < 0.005). The antimycotic action of CDI was studied in vitro. The minimum inhibitory concentration (MIC) of CDI were about 0.25% for Trichophyton rubrum and 0.5% for Trichophyton gypseum and Microsporum gypseum. Trichophyton rubrum immersed with CDI showed that the mycelia became roughened, deformed, and macroconidium became smaller under EM.Conclusion: CDI is valuable in treating tinea manum. 展开更多
关键词 Composite Divitriol Infusion tinea manum Chinese herbal medicine therapy
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Tinea of Vellus Hair Caused by Trichophyton violaceum in a Child:A Case Report
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作者 Ge Song Guan-Zhao Liang Wei-Da Liu 《International Journal of Dermatology and Venereology》 CSCD 2024年第1期58-59,共2页
Introduction:Tinea of vellus hair is a rare dermatophytosis,caused by dermatophyte infection in the vellus hair.The clinical symptoms of tinea of vellus hair are more serious and the conventional topical treatment are... Introduction:Tinea of vellus hair is a rare dermatophytosis,caused by dermatophyte infection in the vellus hair.The clinical symptoms of tinea of vellus hair are more serious and the conventional topical treatment are often ineffective.Here,we report a case of tinea of vellus hair caused by Trichophyton violaceum in a child.Case presentation:A 7-year-old boy presented with a localized,scaly,and itchy erythema on his left cheek for two months.He once used a topical corticosteroid but without any clinical improvement,the erythema was progressively enlarging and spread to the left eyebrow.He denied any contact with animals.Direct microscopy found abundant spores and hyphae on the vellus hair;T.violaceum was identified by culture and PCR examination.The patient was diagnosed with tinea of vellus hair and cured after treating with oral terbinafine 125 mg/day and topical treatment for two weeks.There was no recurrence during the follow-up period.Discussion:The clinical symptoms of tinea of vellus hair are often atypical and easy to be misdiagnosed.Timely fungal examination is necessary for suspicious patients and confirmed patients should be treated with oral antifungal drugs.Conclusion:The diagnosis and treatment of tinea of vellus hair need to be paid more attention in clinical works. 展开更多
关键词 tinea vellus hair case report
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Tinea capitis caused by Microsporum Canis in a child:a case report
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作者 Shi Ting Zeng Ling +3 位作者 Zheng Shujuan Liang Jian Zhang Xiao Xie Liangyi 《实用休克杂志(中英文)》 2021年第3期190-192,共3页
We report a tinea capitis caused by Microsporun Canis.A 6-year-old girl who had a history contact with dogs and cats in rural area.The girl suffered from scalp mass,pustules and itching for 2 months.There were two rou... We report a tinea capitis caused by Microsporun Canis.A 6-year-old girl who had a history contact with dogs and cats in rural area.The girl suffered from scalp mass,pustules and itching for 2 months.There were two round patches in right scalp which the several pustules scattered on it.The morphology of the colony on the culture medium,the morphological characteristics under the microscope and the results of molecular sequencing confirmed that the girl’s tinea capitis was caused by Microsporun Canis.The girl was cured with the treatment of oral administration of itraconazole and ketoconazole ointment for external use for ten days. 展开更多
关键词 Microsporun Canis tinea capitis Macroconidium ITRACONAZOLE KETOCONAZOLE
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席建元基于“风、痰、瘀、虚”论治原发性皮肤淀粉样变 被引量:1
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作者 杨柳 周媛 +3 位作者 赵雅情 张玉凤 王琦 席建元 《湖南中医药大学学报》 2025年第3期548-552,共5页
原发性皮肤淀粉样变是指淀粉样蛋白沉积在真皮内的一类代谢性疾病,归属于中医学“顽癣”“松皮癣”范畴。席建元教授治疗原发性皮肤淀粉样变拥有丰富的临床经验,提出从“风、痰、瘀、虚”4种不同病机出发探讨疾病本质,将其主要分为风痰... 原发性皮肤淀粉样变是指淀粉样蛋白沉积在真皮内的一类代谢性疾病,归属于中医学“顽癣”“松皮癣”范畴。席建元教授治疗原发性皮肤淀粉样变拥有丰富的临床经验,提出从“风、痰、瘀、虚”4种不同病机出发探讨疾病本质,将其主要分为风痰阻络、痰瘀互结、血虚风燥3种证型,临床上运用祛风通络、化痰祛瘀、养血润燥等治法,以缓解瘙痒、消除皮损,临床疗效显著。 展开更多
关键词 原发性皮肤淀粉样变 顽癣 松皮癣 瘙痒 名医经验 内外合治
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武汉市某三甲医院138例成人头癣回顾性分析
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作者 陈尊义 陈瑶 +3 位作者 喻惠元 曹永艳 曾志良 杨静 《中国热带医学》 北大核心 2025年第4期429-433,共5页
目的 了解武汉市及周边地区成人头癣临床类型、致病菌及致病危险因素,为疾病的预防和治疗提供依据。方法 回顾性分析2011年—2024年武汉市第一医院皮肤科门诊138例经临床表现和真菌学检查确诊为成人头癣的患者资料,并收集同时期100例成... 目的 了解武汉市及周边地区成人头癣临床类型、致病菌及致病危险因素,为疾病的预防和治疗提供依据。方法 回顾性分析2011年—2024年武汉市第一医院皮肤科门诊138例经临床表现和真菌学检查确诊为成人头癣的患者资料,并收集同时期100例成人非头癣患者作为对照组,采用卡方检验和多因素logistic回归分析影响成人头癣发病的危险因素。结果 138例成人头癣中,男性14例(10.14%),女性124例(89.86%),男女比1∶8.86,中位数年龄为52岁,最常发病年龄段为45~<75岁。其中黑点癣102例(73.91%),白癣20例(14.49%),脓癣16例(11.60%),未见黄癣。致病菌为紫色毛癣菌(92/138, 66.67%)、犬小孢子菌(22/138, 15.94%)、断发毛癣菌(11/138, 7.97%)、红色毛癣菌(9/138,6.52%)和须癣毛癣菌(4/138, 2.90%),未见其他致病菌。卡方检验结果显示患者性别、合并体癣、宠物接触史、绝经史、放化疗史、家庭聚集史、头皮性状和居住地在头癣和非头癣患者中差异有统计学意义(P<0.05),进一步行多因素logistic回归分析,结果显示女性患者、接触宠物、绝经、干性或中性头皮、居住地农村是成人头癣感染的危险因素(OR>1, P<0.05)。结论 武汉市及周边地区成人头癣主要临床类型是紫色毛癣菌引起的黑点癣,重点关注女性患者、接触宠物、绝经、干性或中性头皮、居住地农村等危险因素,有助于该病的早期诊断和规范化治疗。 展开更多
关键词 成人头癣 紫色毛癣菌 黑点癣 危险因素
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苍肤洗剂干纸巾外用治疗手足癣的临床观察
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作者 王倩 邓丙戌 +2 位作者 蔡念宁 曲剑华 周冬梅 《北京中医药》 2025年第6期717-720,共4页
目的观察名老中医赵炳南经验方“苍肤洗剂”干纸巾外用治疗手足癣的临床疗效及安全性。方法选择2022年1月—2023年12月本院皮肤科门诊收治的手足癣患者144例。采用前瞻性、随机、对照研究,按照随机数字表法将入选病例分为A、B、C组。A... 目的观察名老中医赵炳南经验方“苍肤洗剂”干纸巾外用治疗手足癣的临床疗效及安全性。方法选择2022年1月—2023年12月本院皮肤科门诊收治的手足癣患者144例。采用前瞻性、随机、对照研究,按照随机数字表法将入选病例分为A、B、C组。A组采用苍肤洗剂水煎剂治疗,B组采用苍肤洗剂干纸巾治疗,C组采用特比萘芬乳膏治疗。3组均以1周为1疗程,连续治疗2周。对比3组疗效,治疗前后皮损面积、瘙痒程度评分、皮损严重程度评分,真菌清除率,不良反应,复发率。结果3组总有效率比较,差异无统计学意义(P>0.05)。治疗后,3组皮损面积、瘙痒程度评分、皮损严重程度评分均较治疗前改善(P<0.01)。治疗后,3组间皮损面积、皮损严重程度评分比较,差异有统计学意义(P<0.05);进一步两两比较,A组皮损面积小于B组(P<0.05),A、B组皮损严重程度评分均低于C组(P<0.01)。3组真菌清除率、不良反应发生率比较,差异均无统计学意义(P>0.05)。A组、B组复发率低于C组,但差异无统计学意义(P>0.05)。结论苍肤洗剂外用治疗手足癣疗效确切,且无明显不良反应;干纸巾这一专利技术应用于中药外治,提升了便携度。 展开更多
关键词 苍肤洗剂 药物干纸巾 中医外治 手足癣
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武汉市某三甲医院2023—2024年动物源性头癣及毳毛癣临床特征
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作者 喻惠元 陈尊义 +4 位作者 陈瑶 董碧麟 曾志良 童中胜 杨静 《中国热带医学》 北大核心 2025年第12期1614-1619,共6页
目的分析2023—2024年武汉市某三甲医院动物源性头癣(tinea capitis)和毳毛癣(tinea vellus)的临床特征、病原学和检查治疗情况,为临床诊断提供可靠的实验室依据。方法收集2023—2024年武汉市第一医院皮肤科门诊初诊即培养出亲动物性皮... 目的分析2023—2024年武汉市某三甲医院动物源性头癣(tinea capitis)和毳毛癣(tinea vellus)的临床特征、病原学和检查治疗情况,为临床诊断提供可靠的实验室依据。方法收集2023—2024年武汉市第一医院皮肤科门诊初诊即培养出亲动物性皮肤癣菌的46例头癣、38例毳毛癣及12例头癣合并毳毛癣患者资料,所有患者使用创弘医疗皮肤镜工作站进行皮肤镜及紫外线增强荧光皮肤镜观察,并记录皮肤镜下特征。所有患者按要求随访6个月。结果96例患者中,男性34例,女性62例,年龄范围为8个月~69岁,中位年龄5(4,9)岁。共分离出65株犬小孢子菌(Microsporum canis)和31株须癣毛癣菌(Trichophyton mentagrophytes)。78例患者符合明确动物接触史定义,接触动物主要为猫,占57.69%(45/78)。57例患者真菌直接镜检结果显示发内型感染,39例患者显示发外型感染;其中犬小孢子菌相对于须癣毛癣菌发外型感染比例较高,差异有统计学意义(χ^(2)=22.167,P<0.001)。犬小孢子菌与须癣毛癣菌均可引起动物源性头癣及毳毛癣。发病部位方面,与犬小孢子菌相比,须癣毛癣菌更倾向于导致头面颈部感染(χ^(2)=6.862,P<0.05),而犬小孢子菌更倾向于导致躯干及上肢感染(χ^(2)=4.873,P<0.05);皮损形态方面,须癣毛癣菌较犬小孢子菌多表现为单发环状皮损(χ^(2)=10.267,P<0.05),犬小孢子菌则更常出现多发钱币状皮损(χ^(2)=10.852,P<0.05);皮肤镜特征方面,犬小孢子菌感染中锯齿状发或条码状发的检出率显著高于须癣毛癣菌(χ^(2)=30.553,P<0.05),须癣毛癣菌则更易观察到白色微脓疱(χ^(2)=9.377,P<0.05),且犬小孢子菌感染的紫外光增强皮肤镜阳性率显著高于须癣毛癣菌感染,差异有统计学意义(χ^(2)=34.706,P<0.001)。治疗随访发现毳毛癣患者疗程较头癣患者短;普通毳毛癣及头癣患者疗程较脓疱型毳毛癣及脓癣疗程短。结论犬小孢子菌和须癣毛癣菌是重要的动物源性皮肤癣菌病的病原菌,二者有特异性的寄生宿主。真菌荧光染色联合紫外线增强荧光皮肤镜可以作为动物源性皮肤癣菌病的诊断及疗效评价的重要工具,了解动物源性皮肤癣菌病的致病菌、寄生宿主及紫外线增强荧光皮肤镜特征,有助于该病的早期诊断、规范化治疗及预防。 展开更多
关键词 动物源性皮肤癣菌病 头癣 毳毛癣 紫外线增强荧光皮肤镜 犬小孢子菌 须癣毛癣菌
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盐酸特比萘芬喷雾剂联合香莲外洗液治疗足癣临床研究
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作者 何嘉峰 李宝杰 +6 位作者 廖志刚 原京 贾梓奇 莫冬冬 贺莉雅 袁娟娜 陈信生 《新中医》 2025年第2期91-95,共5页
目的:观察盐酸特比萘芬喷雾剂联合香莲外洗液治疗足癣的临床疗效。方法:将2023年3月—2024年1月广东省中医院收治的60例足癣患者,按照简单随机法分为联合组与对照组各30例,联合组失访2例,最终纳入28例。联合组给予香莲外洗液浸泡及盐酸... 目的:观察盐酸特比萘芬喷雾剂联合香莲外洗液治疗足癣的临床疗效。方法:将2023年3月—2024年1月广东省中医院收治的60例足癣患者,按照简单随机法分为联合组与对照组各30例,联合组失访2例,最终纳入28例。联合组给予香莲外洗液浸泡及盐酸特比萘芬喷雾剂治疗,对照组给予盐酸特比萘芬喷雾剂治疗,2组疗程均为4周。观察比较2组临床疗效、症状评分、疗效指数、皮肤病生活质量指数(DLQI)及其改善程度、真菌清除率、复发率及不良反应。结果:治疗后,联合组痊愈率89.29%(25/28),高于对照组66.67%(20/30),差异有统计学意义(P<0.05)。治疗后,2组症状评分均较治疗前降低(P<0.05),且联合组症状评分低于对照组(P<0.05)。联合组疗效指数高于对照组,差异有统计学意义(P<0.05)。治疗后,联合组真菌清除率为92.86%(26/28),对照组为86.67%(26/30),2组比较,差异无统计学意义(P>0.05)。治疗后,2组DLQI评分均较治疗前降低(P<0.05),且联合组DLQI评分低于对照组(P<0.05)。联合组皮肤病生活质量指数改善程度高于对照组,差异有统计学意义(P<0.05)。治疗后,联合组复发率为4.00%(1/25),对照组为30.00%(6/20),2组比较,差异有统计学意义(P<0.05)。治疗过程中,在非皮损部位出现一过性轻度瘙痒联合组1例、对照组2例,均可自行缓解。结论:香莲外洗液联用特比萘芬喷雾剂治疗足癣安全有效,可显著改善患者症状体征,提高生活质量,降低复发率,且真菌清除率相对较高。 展开更多
关键词 足癣 香莲外洗液 特比萘芬 皮肤病生活质量指数 真菌清除率
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自制祛癣散联合萘替芬酮康唑乳膏治疗足癣的临床效果
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作者 张元元 肖生祥 《临床医学研究与实践》 2025年第30期125-128,共4页
目的探讨自制祛癣散联合萘替芬酮康唑乳膏治疗足癣的临床效果。方法选取2023年1月至2024年2月汉中市中医医院皮肤科收治的68例足癣患者为研究对象,随机将其分为常规组(34例,萘替芬酮康唑乳膏治疗)及联合组(34例,自制祛癣散联合萘替芬酮... 目的探讨自制祛癣散联合萘替芬酮康唑乳膏治疗足癣的临床效果。方法选取2023年1月至2024年2月汉中市中医医院皮肤科收治的68例足癣患者为研究对象,随机将其分为常规组(34例,萘替芬酮康唑乳膏治疗)及联合组(34例,自制祛癣散联合萘替芬酮康唑乳膏治疗)。比较两组的治疗效果。结果联合组的治疗总有效率明显高于常规组(P<0.05)。联合组的真菌清除率明显高于常规组(P<0.05)。治疗后,联合组的角化、水疱、丘疹、趾间糜烂及瘙痒评分明显低于常规组(P<0.05)。治疗后,联合组的温哥华瘢痕量表(VSS)各维度评分均明显低于常规组(P<0.05)。治疗后6个月,联合组的复发率明显低于常规组(P<0.05)。两组的不良反应总发生率无明显差异(P>0.05)。结论自制祛癣散联合萘替芬酮康唑乳膏治疗足癣的效果显著,可减轻临床症状,减少瘢痕形成,提高真菌清除率,降低复发率,值得推广应用。 展开更多
关键词 自制祛癣散 萘替芬酮康唑乳膏 足癣
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萎缩性花斑糠疹一例并文献复习
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作者 张子扬 张雍 +1 位作者 暴芳芳 田洪青 《中国麻风皮肤病杂志》 2025年第10期729-732,共4页
萎缩性花斑糠疹是花斑糠疹的罕见亚型,以特征性皮肤萎缩伴色素异常为主要表现。本文报道一例患者,男,39岁,病程8年,真菌检查阳性,组织病理示表皮萎缩符合萎缩性花斑糠疹。予伊曲康唑胶囊100 mg口服,外用复方苯甲酸酊与硝酸舍他康唑乳膏,... 萎缩性花斑糠疹是花斑糠疹的罕见亚型,以特征性皮肤萎缩伴色素异常为主要表现。本文报道一例患者,男,39岁,病程8年,真菌检查阳性,组织病理示表皮萎缩符合萎缩性花斑糠疹。予伊曲康唑胶囊100 mg口服,外用复方苯甲酸酊与硝酸舍他康唑乳膏,1个月后症状消退,局部皮损痊愈。停药1个月后随访,皮损无复发。结合文献复习32例患者,本病好发于中青年(中位年龄35岁),男女比例均衡,21.9%与长期外用糖皮质激素相关。抗真菌治疗有效率62.5%,但37.5%遗留持续性萎缩。 展开更多
关键词 萎缩性花斑糠疹
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从皮肤癣菌-宿主-微生态多维视角探析头癣发病机制
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作者 伍丹丹 朱卿滢 尹斌 《中国麻风皮肤病杂志》 2025年第8期620-625,共6页
头癣是由皮肤癣菌感染毛发和头皮引起的浅部真菌病,多发于儿童和绝经后妇女。其发病涉及皮肤癣菌的侵入机制,皮肤癣菌与宿主免疫的相互作用,以及头皮微生态失衡,尤其是皮脂腺功能改变和微生物群落紊乱对头癣发生发展的影响。本文从多方... 头癣是由皮肤癣菌感染毛发和头皮引起的浅部真菌病,多发于儿童和绝经后妇女。其发病涉及皮肤癣菌的侵入机制,皮肤癣菌与宿主免疫的相互作用,以及头皮微生态失衡,尤其是皮脂腺功能改变和微生物群落紊乱对头癣发生发展的影响。本文从多方面综述头癣的发病机制,为开发新的预防和治疗策略提供科学依据。 展开更多
关键词 头癣 皮肤癣菌 免疫反应 头皮微生态 发病机制
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