手部皮肤垢着病17例分析

Analysis of 17 Cases with Cutaneous Dirtadherent Disease of Hands

目的:通过病例分析,探讨手部皮肤垢着病的临床特征以及其与马拉色菌感染的关系。方法:对门诊2001年至2004年17例手部皮肤垢着病作回顾性分析,分析其临床特征及实验室真菌学检查,并与21例无手部皮损的皮肤垢着病作比较。结果:17例手部皮肤垢着病在临床表现方面与经典的皮肤垢着病有所不同,在皮损部位检出及分离出马拉色菌方面前者明显高于后者。结论:手部皮肤垢着病在临床表现方面不同于经典的皮肤垢着病,它与马拉色菌感染有较密切的关系,可能是马拉色菌在手部感染的特殊表现形式,而找出可疑的病因对治疗是有帮助的。

Objective：To study the clinical characteristics of cutaneous dirtadherent disease of hands and the relationship between the disease and infection of pityrosporum. Methods： 17 cases with cutaneous dirtadherent disease of hands in our clinic from 2001 to 2004 were adopted in the study. The clinical characteristics and mycology were analyzed retrospectively and compared with 21 common cases. Results：The clinical manifestation of cutaneous dirtadherent disease of hands is different from common cutaneous dirtadherent disease slightly. Detective rate of pityrosporum on cutaneuous dirtadherent disease of hands was higher than those common ones. Conclusion：The clinical characteristics of cutaneous dirtadherent disease of hands is different from the ones typical. Cutaneous dirtadherent disease of hands has close relation with infection of pityrosporum, and it maybe a subclinical form of pityrosporum infection on hands.