泛发性体癣与体(股)癣患者致病相关因素比较

目的:比较泛发性体癣与体(股)癣患者致病因素的不同。方法:收集我科37例泛发性体癣患者及35例局限性体(股)癣患者的临床资料,对其进行分析比较。结果:泛发性体癣患者的平均病程(584.92±132.52)天,共鉴定出四种皮肤癣菌(红色毛癣菌,趾间毛癣菌,石膏样小孢子菌,断发毛癣菌),32例患者有使用糖皮质激素史,14例患者患有基础疾病。局限性体(股)癣患者35例,平均病程(67.37±14.54)天,共鉴定出三种皮肤癣菌(红色毛癣菌,趾间毛癣菌,石膏样小孢子菌),5例有使用糖皮质激素乳膏史,3例患者患有基础疾病。两组患者在病程、糖皮质激素使用及基础疾病因素上,差异均有统计学意义(均P<0.05)。皮肤癣菌种无差异。结论:糖皮质激素的使用及基础疾病可能为泛发性体癣发生的重要相关因素。

Comparation of related risk factors of widespread tinea corporis and localized tinea corporis or tinea cruris

Objective: To compare the related pathogenic factors of widespread tinea corporis and localized tinea corporis or tinea cruris. Methods: The data of 37 patients with widespread tinea corporis and 35 patients with localized tinea corporis or tinea cruris was collected and analyzed. Results: The average duration of the diseases were 584.92±132.52 days in widespread tinea corporis and 67.37±14.54 days in localized tinea corporis or tinea cruris. Out of 37 widespread tinea corporis, 32 had a history of glucocorticoid use and 14 had a history of systemic diseases, and four dermatophyte species (T.rubrum, T.mentagrophytes, M.gypseum, T.tonsurans) were identified. Of the 35 localized tinea corporis or tinea cruris 5 had a history of glucocorticoid use and 3 had a history of systemic diseases, and three dermatophyte species (T.rubrum, T.mentagrophytes, M.gypseum) were identified. There were significant differences in the duration of the diseases, glucocorticoid use and the systemic diseases between the two groups (P<0.05). Conclusion: Glucocorticoid use and systemic diseases may be the important risk factors related to widespread tinea corporis