表面的な真菌感染症
1Dermatology, UMDNJ-New Jersey Medical School, 185 South Orange Avenue, Newark, NJ 07103-2714, USA. roschwar@umdnj.edu
Lancet (London, England)
|September 29, 2004
まとめ
このセミナーでは,Tinea versicolor,Piedra,Tinea nigraなどの表面的な真菌感染症について説明します. これらの感染症は,皮膚の外層である角層 (stratum corneum) に影響を及ぼす特定の真菌によって引き起こされます.
科学分野:
- 医学菌学 医学菌学について
- 皮膚科 皮膚科について
- 感染症 感染症は感染症です.
背景:
- 表面的な真菌感染症は,角層に限られた病原体によって引き起こされます.
- これらの感染症は,典型的には,組織反応がほとんどないか,ほとんどないことを誘発します.
- このセミナーは,3つの異なる表面性菌糸に重点を置いています: ティネア・ヴァリスコル,ピエラ,ティネア・ニグラです.
研究 の 目的:
- Tinea versicolor,piedra,およびtinea nigraの包括的な概要を提供するために.
- これらの真菌感染症の病原体と流行病学的特徴について議論する.
- 差異診断を含む主要な診断および臨床的特徴を強調する.
主な方法:
- 現在の文献と臨床ガイドラインのレビュー.
- 議論された真菌感染症の病因学,病原性,および臨床的なプレゼンテーションに関する情報の合成.
- 疫学データと地理的分布についての議論.
主要な成果:
- Tinea versicolorは,酵母から菌糸体形態に移行できるマラスゼジア種 (例えば,マラスゼジア・ファーファー,マラスゼジア・グローボサ,マラスゼジア・シンポディアリス) によって引き起こされる世界的な感染症です.
- 白と黒のピエドラは熱帯地域で多く見られ,白のピエドラは温帯地域でも見られる. 黒いピエンドラはPiedraia hortaeによって引き起こされ,白いピエンドラはTrichosporon種によって引き起こされます.
- 熱帯地域で多く見られるティネ・ニグラは,暗い色素で特徴づけられ,メラノーマと間違えられる.
結論:
- 表面的な真菌感染症は,様々な病原体と地理的分布を持つ疾患のスペクトルを表しています.
- 病原菌 (Malassezia spp.,Piedraia hortae,Trichosporon spp.) の正確な識別について 適切な管理に不可欠である.
- メラノーマのティネア・ニグラなどの誤診の可能性や臨床的プレゼンテーションを理解することは,効果的な患者のケアに不可欠です.
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