面部孢子丝菌病186例临床分析

Clinical analysis of 186 cases of facial sporotrichosis

目的探讨面部孢子丝菌病的临床特征。方法对2010-2011年确诊的面部孢子丝菌病进行回顾性分析。结果186例患者男女之比为1：1．16，平均年龄41．30岁，平均病程8．20个月，农民占68．82％，有明确外伤史的占34．41％，临床表现以固定型最多见，占70．97％。治疗分别采用10％碘化钾溶液、伊曲康唑或特比萘芬口服，用药3个月，治愈率达100％。41例留有瘢痕，占22．04％。结论孢子丝菌病是吉林省多发病，临床上与以往报道相似，但不典型皮损者要防止误诊误治。

Objective To analyze clinical characteristics of facial sporotrichosis. Methods A retrospective study was carried out on 186 cases of facial sporotrichosis diagnosed from 2010 to 2011. Results Among these patients, the male to female ratio was 1 ： 1. 16, with an average age of 41.3 years and clinical course of 8.2 months. Peasants accounted for 68.82% of these patients. A clear history of trauma was reported by 34.41% of these patients. Fixed sporotriehosis was the most common form, accounting for 70.97% of these cases. The treatment of sporotrichosis included oral potassium iodide （10%） solution, itraconazole or terbinafine. All the patients were cured after three months of treatment, with scar formation in 22.04% （41/186） of these patients. Conclusions Sporotrichosis appears to be common in Jilin province. The clinical findings from these cases are in agreement with previous reports. Clinicians should try to avoid misdiagnosis and mistreatment of sporotrichosis with atypical presentations.