儿科真菌菌菌病:临床变种,治疗方法和对治疗的反应
Orna Mirmovich Morvay1, Michal Ramon2, Ziad Khamaysi2
1Department of dermatology, Rambam Health Care Campus, Haifa, Israel. orna.mir@gmail.com.
Acta dermato-venereologica
|July 14, 2023
概括
儿科真菌菌菌病是一种惰的皮肤淋巴瘤. 光疗是有效的,大多数患者反应良好,并通过延长治疗实现长期缓解.
科学领域:
- 皮肤病学 皮肤病学
- 儿科瘤学 儿科瘤学
- 血液学 血液学 血液学
背景情况:
- 菌根性菌病是一种罕见的皮肤T细胞淋巴瘤.
- 在儿科患者群体中异常罕见.
- 了解它在儿童中的特征对于有效管理至关重要.
研究的目的:
- 调查儿科真菌菌菌病的流行病学,临床和组织学特征.
- 评估这个年龄组的治疗策略和治疗反应.
- 确定影响治疗结果的因素.
主要方法:
- 在2013-2021年间诊断的37名儿科患者的回顾性队列研究.
- 收集的数据包括人口统计,临床表现,组织学,克隆性,治疗和反应.
- 平均随访时间为60个月.
主要成果:
- 所有患者呈现出早期 (IA或IB) 疾病.
- 毛囊性菌菌菌类是最常见的亚型 (49%).
- 光疗是主要的治疗方法 (90%),达到85%的反应率 (第一疗程后55%的完整反应).
- 长时间的光疗与更长的缓解持续时间相关.
- 根据变体,延迟诊断,阿托皮,克隆性或光疗类型,没有观察到响应的显著差异.
结论:
- 儿科真菌菌菌病一般是惰的,预后有利.
- 光疗显示出显著的疗效和长期缓解的潜力.
- 早期诊断和持续治疗是治疗儿童这种疾病的关键.
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