背景:面癣是一种相对罕见的皮肤癣菌感染。研究,其中包括临床表格,和分离的皮肤癣菌物种,是有限的。
方法:这项回顾性研究旨在确定病原体,临床特征,在皮肤科诊所就诊的面癣患者的治疗和结果,Siriraj医院,从2017年1月1日至2021年9月30日。人口统计数据,临床表现,分离的皮肤癣菌物种,收集并分析治疗和结局.
结果:共观察到151例面癣。红色毛癣菌(48.6%),毛癣菌复合体(22.2%)和犬小孢子菌(18.1%)是常见的病原体。在有宠物史(54.6%)的女性中通常检测到面癣(64.9%)。临床表现通常涉及脸颊上的斑块和鳞片。在脸颊有病变的患者中,与没有脸颊病变的患者相比,观察到真菌学治愈的频率明显较低。其他并发皮肤或指甲感染的患者,有局部类固醇病史和既往真菌感染病史的真菌学治愈持续时间比无因素者稍长.复发性感染占33.3%。男性,既往真菌感染史,脸颊上的病变与复发性感染显着相关。
结论:面部真菌感染常见于女性和宠物患者。引起面癣的最常见病原体是红斑毛虫。局部抗真菌治疗可用于良好的结果。应仔细评估过去的感染史和脸颊上的病变,以警惕反复感染。
BACKGROUND: Tinea faciei is a relatively uncommon dermatophyte infection. The studies, which included clinical forms, and isolated species of dermatophytes, are limited.
METHODS: This retrospective study aims to determine the causative organism, clinical characteristics, treatments and outcomes of patients with tinea faciei attending the dermatologic clinic, Siriraj Hospital, from 1 January 2017 to 30 September 2021. Demographic data, clinical presentations, isolated dermatophyte species, treatments and outcomes were collected and analysed.
RESULTS: A total of 151 tinea faciei cases were observed. Trichophyton rubrum (48.6%), Trichophyton mentagrophytes complex (22.2%) and Microsporum canis (18.1%) were common causative agents. Tinea faciei was commonly detected in females (64.9%) with a history of pets (54.6%). Clinical presentations often involved plaques and scales on the cheeks. Among patients with lesions on the cheek, mycological cure was observed significantly less often compared to those without cheek lesions. Patients with other concurrent skin or nail infections, a history of topical steroids and a history of previous fungal infection had a slightly longer duration of mycological cure than those without factors. Recurrent infection was found in 33.3%. Male, history of previous fungal infection, and lesions on the cheeks were significantly associated with recurrent infection.
CONCLUSIONS: Fungal infection of the face was commonly found in women and patients with pets. The most common pathogen that caused tinea faciei was T. rubrum. Topical antifungal treatments could be used with favourable outcomes. The history of past infection and lesion on the cheeks should be carefully assessed to be vigilant for recurrent infection.