■体癣是一种常见的真菌感染,模仿许多其他环状病变。医生必须熟悉这种情况及其治疗方法。
■本文旨在提供有关评估的叙述性最新回顾,诊断,和体癣的治疗。
■使用关键术语“体癣”对临床查询进行了PubMed搜索。搜索策略包括临床试验,荟萃分析,随机对照试验,观察性研究,和评论。搜索仅限于英语。从上述检索中检索到的信息用于汇编本文。
■体癣通常表现为界限分明的,严格限制,椭圆形或圆形,轻度红斑,鳞片状斑块或斑块,前缘凸起。轻度瘙痒是常见的。诊断通常是临床的,但事先使用药物可能很困难。如钙调磷酸酶抑制剂或皮质类固醇。皮肤镜检查是一种有用的非侵入性诊断工具。如有必要,诊断可以通过显微镜检查从病变的活性边界刮片的氢氧化钾湿装制剂来确认。真菌培养是诊断皮肤癣菌病的金标准,特别是如果诊断有疑问,其他测试结果不确定或感染广泛,严重,或对治疗有抵抗力。体癣的标准治疗是局部抗真菌药。如果病变是多发性,则需要进行系统性抗真菌治疗,广泛的,深,经常性,慢性,或者对局部抗真菌治疗没有反应,或者患者是否有免疫缺陷。
■体癣的诊断通常是临床诊断,只要病变是典型的,医生就不会有问题。然而,存在许多体癣的临床变异,使诊断变得困难,特别是在以前使用药物的情况下,如钙调磷酸酶抑制剂或皮质类固醇。因此,医生必须熟悉这种情况,以便做出准确的诊断并开始适当的治疗。
UNASSIGNED: Tinea corporis is a common fungal infection that mimics many other annular lesions. Physicians must familiarize themselves with this condition and its treatment.
UNASSIGNED: This article aimed to provide a narrative updated
review on the evaluation, diagnosis, and treatment of tinea corporis.
UNASSIGNED: A PubMed search was performed with Clinical Queries using the key term \'tinea corporis.\' The search strategy included clinical trials, meta-analyses, randomized controlled trials, observational studies, and reviews. The search was restricted to the English language. The information retrieved from the mentioned search was used in the compilation of the present article.
UNASSIGNED: Tinea corporis typically presents as a well-demarcated, sharply circumscribed, oval or circular, mildly erythematous, scaly patch or plaque with a raised leading edge. Mild pruritus is common. The diagnosis is often clinical but can be difficult with prior use of medications, such as calcineurin inhibitors or corticosteroids. Dermoscopy is a useful and non-invasive diagnostic tool. If necessary, the diagnosis can be confirmed by microscopic examination of potassium hydroxide wet-mount preparations of skin scrapings from the active border of the lesion. Fungal culture is the gold standard to diagnose dermatophytosis especially if the diagnosis is in doubt and results of other tests are inconclusive or the infection is widespread, severe, or resistant to treatment. The standard treatment of tinea corporis is with topical antifungals. Systemic antifungal treatment is indicated if the lesion is multiple, extensive, deep, recurrent, chronic, or unresponsive to topical antifungal treatment, or if the patient is immunodeficient.
UNASSIGNED: The diagnosis of tinea corporis is usually clinical and should pose no problem to the physician provided the lesion is typical. However, many clinical variants of tinea corporis exist, rendering the diagnosis difficult especially with prior use of medications, such as calcineurin inhibitors or corticosteroids. As such, physicians must be familiar with this condition so that an accurate diagnosis can be made and appropriate treatment initiated.