摘要
目的:对甲真菌病的临床特征进行深入研究,以期发现作为初步诊断的临床线索。方法:收集甲真菌病及非甲真菌病病例,详细记录患者的一般情况、病史及病甲特征,并进行统计分析。结果:(1)共收集124例甲真菌病和29例其它甲病病例,真菌培养阳性者84例。(2)有6项病史(手足多汗史,浅部真菌病史,密切接触者中有浅部真菌病,掌跖脱屑史,趾指间浸渍糜烂史,掌跖/趾指腹水疱史)和2项临床体征(掌跖脱屑,单侧指甲受累)高度提示甲真菌病。结论:甲真菌病有某些特征可作为临床诊断的线索。
Objective： To estabhsh a clinical diagnostic clue for the diagnosis of onychomycosis, based on clinical characteristics of the patients with onchomycosis. Methods： The general condition, clinical history and clinical characteristics of patients with nail disorders were collected and analyzed. Mycological culture was done for all specimens taken from the patients. Results： （ 1 ） A total of 124 cases of onychomycosis and 29 cases of other nail diseases were collected. Seventy - five cases were positive on culture for Trichophyton rubnm, and 6 cases for Cand/da spp, 1 case each for Fusarium oxysporum, Malassezia pachydermatis and coinfection of Candida albicans and Trichophyton rubrum, respectively. （2） Eight parameters were found to be significantly related to positive mycology results, including 6 clinical indicators （hyperhidrosis on the palm and sole, superficial mycosis of skin, close contact with people suffering from superficial mycosis, scaly skin on sole/palm, interdigital maceration, history of vesicles on sole/ palms/ventral aspects of toes or fingers） and 2 chnical findings （scaling on sole/palm, nails on unilateral nail involvement） .Conclusion： Some chnical features can be used as clue in the diagnosis of onychomycosis.
出处
《中国麻风皮肤病杂志》
2007年第10期862-864,共3页
China Journal of Leprosy and Skin Diseases
关键词
甲真菌病
诊断
onychomycosis
diagnosis
