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20例儿童脓癣临床特征分析

崔祥祥 郑冰洁 陈茜岚 杨芸 周行 钱秋芳

中国真菌学杂志2023,Vol.18Issue(5):401-405,5.
中国真菌学杂志2023,Vol.18Issue(5):401-405,5.

20例儿童脓癣临床特征分析

Clinical analysis of 20 cases of kerion in children

崔祥祥 1郑冰洁 1陈茜岚 1杨芸 1周行 1钱秋芳1

作者信息

  • 1. 上海交通大学医学院附属儿童医院皮肤科,上海 200062
  • 折叠

摘要

Abstract

Objective To explore and analyze the clinical characteristics of kerion in children in order to improve the clini-cian's understanding of pediatric kerion.Methods The clinical data,treatment and prognosis of 20 cases of children with ke-rion diagnosed in our hospital from 2017 to 2022 were retrospectively analyzed.Results Among the 20 cases of kerion,17 cases of single abscess type and 3 cases of multiple folliculitis type.Cats,dogs and rabbits were kept in 19 cases,1 case had contact history with tinea pedis.After oral terbinafine hydrochloride combined with oral glucocorticoids and antibiotics,as well as topical antifungal drugs,all the children were clinically cured within 6-12 weeks.One case had stomach discomfort and no adverse reactions were observed.3 cases were accompanied by ringworm rash.Conclusions The clinical manifesta-tions of kerion in children are sometimes atypical and easy to be misdiagnosed.The positive rate of fungal fluorescence stai-ning was high.Microsporum canis was the most common pathogenic fungi in the culture of pyophyton,followed by Tricho-phyton mentagrophytes.Terbinafine hydrochloride tablet is safe and effective in the treatment of kerion.

关键词

儿童/脓癣/犬小孢子菌/须癣毛癣菌/特比萘芬

Key words

children/kerion/Microsporum Canis/Trichophyton mentagrophytes/terbinafine hydrochloride

分类

医药卫生

引用本文复制引用

崔祥祥,郑冰洁,陈茜岚,杨芸,周行,钱秋芳..20例儿童脓癣临床特征分析[J].中国真菌学杂志,2023,18(5):401-405,5.

基金项目

上海市儿童医院院级课题(2020YLYM01) (2020YLYM01)

中国真菌学杂志

OACSCDCSTPCD

1673-3827

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