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946例头癣病因及发病趋势分析
引用本文:王韵茹,朱敏,李莉,朱均昊,张超英,章强强.946例头癣病因及发病趋势分析[J].中国真菌学杂志,2011,6(2):83-86.
作者姓名:王韵茹  朱敏  李莉  朱均昊  张超英  章强强
作者单位:复旦大学附属华山医院皮肤科,上海,200040
摘    要:目的 了解我国华东地区近18年头癣趋势及病原菌分布情况.方法 采用回顾性分析方法 对1993年1月~2010年12月在我院皮肤科门诊诊治的华东地区的头癣患者进行分析.结果 946例头癣患者,男410例,女536例;年龄20d~93岁;784例真菌培养阳性患者中,白癣473例、黑癣216例、脓癣94例、黄癣1例.主要病原菌为羊毛状小孢子菌470株、紫色毛癣菌154株、断发毛癣菌81株.其中,培养出亲人性皮肤癣菌(紫色毛癣菌32例、断发毛癣菌12例、红色毛癣菌8例)的头癣患者与各种动物有密切接触史.本研究显示头癣发病率2001年达高峰之后逐渐下降,但于2010年又出现新的上升趋势.结论 我国华东地区头癣患者中自癣发病率占首位,其主要致病菌为羊毛状小孢子菌.培养出亲人性皮肤癣菌的头癣患者与各种动物有密切接触,提示亲人性皮肤癣菌在人与动物之间有互相传染的现象.2010年新的上升趋势值得我们关注.

关 键 词:头癣  皮肤癣菌  病原菌分析  人源性人畜共同传染病

A survey of 946 cases of tinea capitis, with emphasis on possible trends in etiology and reemergence
WANG Yun-ru,ZHU Min,LI Li,ZHU Jun-hao,ZHANG Chao-ying,ZHANG Qiang-qiang.A survey of 946 cases of tinea capitis, with emphasis on possible trends in etiology and reemergence[J].Chinese JOurnal of Mycology,2011,6(2):83-86.
Authors:WANG Yun-ru  ZHU Min  LI Li  ZHU Jun-hao  ZHANG Chao-ying  ZHANG Qiang-qiang
Institution:WANG Yun-ru,ZHU Min,LI Li,ZHU Jun-hao,ZHANG Chao-ying,ZHANG Qiang-qiang(Mycology laboratory,Department of Dermatology,Huashan Hospital,Shanghai 200040,China)
Abstract:Objective To investigate the trend and distribution of the pathogens of tinea capitis in eastern China.Methods A total of 946 patients of tinea capitis diagnosed at the Mycology laboratory,Department of Dermatology of our Hospital,from January 1993 to December 2010 were retrospectively analysed.Results During an 18-year period,a total of 946 patients with tinea capitis were diagnosed,including 410 males and 536 female,from 20 days to 93 years old.Of the 784 culture-proven tinea capitis,there were 473 cases ...
Keywords:tinea capitis  dermatophytes  pathogenic fungus analysis  reverse zoonosis  
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