中华皮肤科杂志 ›› 2021, Vol. 54 ›› Issue (8): 741-743.doi: 10.35541/cjd.20191026

• 综述 • 上一篇    

毳毛癣的临床诊治进展

宋歌    梁官钊    张美洁    董嘉琤    刘维达   

  1. 中国医学科学院、北京协和医学院皮肤病医院真菌科  江苏省皮肤病与性病重点分子生物学实验室,南京  210042
  • 收稿日期:2019-10-24 修回日期:2020-07-06 发布日期:2021-08-02
  • 通讯作者: 刘维达 E-mail:liumyco@hotmail.com
  • 基金资助:
    国家自然科学基金面上项目(81972949)

Clinical diagnosis and treatment of tinea of vellus hair

Song Ge, Liang Guanzhao, Zhang Meijie, Dong Jiacheng, Liu Weida   

  1. Department of Mycology, Jiangsu Key Laboratory of Molecular Biology for Skin Diseases and STIs, Hospital of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing 210042, China
  • Received:2019-10-24 Revised:2020-07-06 Published:2021-08-02
  • Contact: Liu Weida E-mail:liumyco@hotmail.com
  • Supported by:
    National Natural Science Foundation of China(81972949)

摘要: 【摘要】 毳毛癣是由皮肤癣菌感染毳毛所致,儿童发病率较高,常感染面部,临床表现为环状或半环状红斑,逐渐向周围扩展蔓延,皮损中央有自愈倾向,边缘有丘疹、丘疱疹隆起于皮面。重症患者炎症反应较重,可见脓疱、糜烂、渗出、脱屑、结痂等。真菌直接镜检可见毳毛上菌丝和/或孢子。局部抗真菌治疗无效,需系统抗真菌治疗。由于该疾病的漏诊及误诊率高,故本文对毳毛癣的发病情况、临床特征及诊治策略进行综述,以提高临床医生对该病的认识。

关键词: 癣, 毛发, 诊断, 治疗, 毳毛癣

Abstract: 【Abstract】 Tinea of vellus hair is caused by dermatophyte infection of vellus hairs, and commonly affects children. It usually occurs on the face, and clinically manifests as annular or semi-annular erythema gradually spreading to the surrounding area, with central clearing and a slightly elevating border covered with papules and papulovesicles. Intense inflammation, which may manifest as pustules, erosions, exudation, scales and crusts, can be observed in patients with severe tinea of vellus hair. Direct microscopy of fungi showed abundant hyphae and/or spores on vellus hairs. Topical antifungal therapy is usually ineffective, and systemic antifungal therapy should be considered. In order to reduce the high rate of missed diagnosis and misdiagnosis, and to improve clinicians′ understanding of this disease, this review summarizes the incidence, clinical manifestations, diagnosis and treatment of tinea of vellus hair.

Key words: Tinea, Hair, Diagnosis, Therapy, Tinea of vellus hair