花斑癣、马拉色菌毛囊炎、脂溢性皮炎马拉色菌诱发因素分析

目的调查昆明地区花斑癣、马拉色菌毛囊炎、脂溢性皮炎马拉色菌诱发因素,并比较三种疾病的诱发因素有无差异。方法收集花斑癣、马拉色菌毛囊炎、脂溢性皮炎(头皮屑)的病例,用自制的调查表对入选病例进行诱发因素调查,比较诱发因素在三种疾病间有无差异。结果共收集158例病例,男104例,女54例,平均年龄29.4岁,多汗、油性皮肤患者所占比例均超过60%,系统或局部使用糖皮质激素是马拉色菌毛囊炎的危险因素。结论马拉色菌感染好发于男性青壮年,多汗者易发生花斑癣,油性皮肤及使用糖皮质激素易发生马拉色菌毛囊炎。

Analysis on the triggering factors of pityriasis versicolor,Malassezia folliculitis and seborrheic dermatitis

Objective To investigate the triggering factors of pityriasis versicolor , Malassezia folliculitis and seb-orrheic dermatitis.Methods Survey among the patients with pityriasis versicolor, Malassezia folliculitis or seborrheic dermatitis was performed by questionnaire.Results Of the 158 patients, there were 104 males and 54 females, aged 29.4 years.The proportion of patients with hyperidrosis and oily skin is more than 60%.Systemic or topical applica-tion of corticosteroids was the main risk factor of Malassezia folliculitis.Conclusion Malassezia infection was com-mon in young adults.Pityriasis vesicolor was common in patient with hyperidrosis.The oily skin and application of corticosteroids were the main triggering factor of Malassezia folliculitis.