皮肤镜、真菌荧光镜检快速诊断幼儿脓癣1例

Rapid diagnosis of kerion in a child by dermoscopy and fungal fluorescence microscopy

脓癣是一种由亲动物的小孢子菌属感染引起的真菌性皮肤病,可致瘢痕性脱发,影响患者的身心健康,早期确诊极为重要。真菌病原学检测是目前头癣诊断的主要依据,但真菌直接镜检存在一定的假阴性率,真菌培养所需时间长。我们通过皮肤镜检查及真菌荧光染色法快速诊断了幼儿脓癣1例,予氟康唑联合糖皮质激素治疗,疗效满意。

Kerion is a fungal skin disease caused by the infection of Microspore genus,which can lead to a large area of cicatricial alopecia and affect the physical and mental health of patients.Early correct diagnosis is extremely important.Fungal pathogen detection is the main basis foRthe diagnosis of tinea capitis at present,but there is a certain false negative rate in fungal direct microscopic examination,and it takes a long time foRfungal culture.One case of kerion in a child was diagnosed by dermatoscopy and fungal fluorescence staining.Fluconazole combined with glucocorticoid treatment was satisfactory.