上海地区600例头癣病原菌分析

目的：了解近10年间上海地区头癣的发病情况及病原菌的分布情况。方法：采用回顾性分析方法对1993年1月-2002年12月在华山医院皮肤科门诊诊治的居住在上海的头癣患者进行分析。结果：600例头癣患者男268例，女332例；年龄20d～84岁；498例真菌培养阳性患者中，白癣325例(65．26％)、黑癣132例(26．5l％)、脓癣40例(8．03％、)、黄癣1例(0．20％)。主要病原菌为羊毛状小孢子菌，322株(64．66％)、紫色毛癣菌89株(17．87％)、断发毛癣菌45株(9．04％)。结论：上海地区头癣中白癣发病率占首位，羊毛状小孢子菌为主要致病菌。

Clinical and mycological study of 600 cases of tinea capitis in Shanghai

Objective: To find out clinical features and pathogenic fungi of tinea capitis in Shanghai in the last 10 years. Methods: Retrospective analysis was used. Results: 600 patients: male 268; female 332. Age: from 20 days to 84 years old. In the 498 cases with positive culture, there were tinea favosa one (0.20%) case; gray-patch ringworm 325(65.26%) cases; black-dot ringworm 132(26.51%) cases; kerion 40(8.03%) cases. The main pathogenic fungi were Microsporum canis 322(64.66%), Trichophyton violaceum 89(17.87%), and Trichophyton tousurans 45(9.04%). Conclusions: Gray-patch ringworm has the highest prevalence, and M.canis is the most common pathogenic fungus in Shanghai.