中华皮肤科杂志 ›› 1987, Vol. 20 ›› Issue (1): 13-15.

• 论著 • 上一篇    下一篇

我国首例由棘状外瓶霉所致系统性暗色丝孢霉病报告

戴文丽1, 任忠芬1, 万俊增1, 刘洪义1, 陈瑞峨1, 王端礼2, 李若瑜2, 王晓红2   

  1. 1. 山东省立医院皮肤科;
    2. 北京医科大学第一医院皮肤科
  • 收稿日期:1985-11-05 修回日期:1986-07-29 出版日期:1987-02-15 发布日期:1987-02-15

First caseof systemic phaeohyphomycosis caused by Exophiala spinifera in China

Dai Wenli   

  • Received:1985-11-05 Revised:1986-07-29 Online:1987-02-15 Published:1987-02-15

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摘要：

本文报告1984年在山东省平阴县发现的我国首例由棘状外瓶霉所致的系统性暗色丝孢霉病,患者为9岁男孩,主诉为全身泛起黑色斑块伴有痒感1年余.X光片显示四肢骨骼多处囊状变性和病理性骨折.血、大便、皮损及淋巴结活检标本的霉菌培养均阳性.其菌种经培养鉴定和扫描电镜检查证实为棘状外瓶霉.

Abstract:

The first case of systemic phaeohyphomycosis caused by Exophiala spinifera was found in Pingyin County, Shandong Province, China in 1384. The patient was a 9-year-old male complaining of 1-year history of extensive black plaques with itching on his skin. Roent-genograms showed multiple cystic degeneration and pathologic fracture of the bones of upper and lower extremities. Fungi culture revealed positive results from the samples of blood, stool, cutaneous lesions, and the biopsy of lymph node. The pathogenic species of fungi was Exophiala spinifera identified by the culture and SEM.