儿童皮肤型孢子丝菌病56例临床与病理分析

目的分析儿童孢子丝菌病的临床、病理特点,提高临床医生对本病的认识。方法对2006年1月-2010年12月经真菌培养确诊的56例儿童孢子丝菌病进行回顾分析。结果本组病例淋巴管型15例(26.78%),固定型41例(73.21%)。发病部位主要为面部(76.78%)。主要病理类型为混合细胞型肉芽肿(64.29%)。结论儿童孢子丝菌病并非少见,真菌培养是确诊的金标准,组织病理可提供诊断线索,斯皮仁诺口服治疗本病安全有效。

Clinical and Pathological Analysis of Children's Cutaneous Sporotrichosis in 56 Cases

Objective Clinical and pathology analysis of children’s cutaneous sporotrichosis were done to deepen the understanding of this disease. Methods Retrospective analysis of 56 cases of cutaneous sporotrichosis diagnosed by mycological culture was done. Results In these cases, 15 cases (26.78%) were lymphocutaneous, 41 cases (73.21 %) were fixed cutaneous. The lesions were mostly on the face (76.78%). The main features of pathology were mixed cellular granuloma (64.29%). Conclusion Children’s cutaneous sporotrichosis is common. Mycological culture is the gold standard for diagnosis. Histopathology can provide clues of the diagnosis. Treatment with oral sporanox is safe and effective.