儿童患有黑的病例
Tengteng Xin1, Jiahao Li1, Li Lin1
1Department of Dermatology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.
New microbes and new infections
|April 3, 2025
概括
黑,一种导致棕色皮肤斑块的真菌感染,在儿童身上使用临床和显微镜方法诊断出. 局部抗真菌治疗有效地解决了由Hortaea werneckii引起的感染.
科学领域:
- 皮肤病学 皮肤病学
- 菌类学 菌类学是指菌类学.
- 传染性疾病 传染性疾病
背景情况:
- 黑是一种表面的真菌感染,其特点是无症状,有色素的斑点,通常在手掌上.
- 它是由产生黑色素的细菌菌引起的,最常见的是Hortaea werneckii.
- 由于其无症状性质和多样化的临床表现,诊断可能具有挑战性.
研究的目的:
- 报告一个儿童病人的黑病例.
- 要突出诊断方法,包括临床检查,皮肤镜和真菌显微镜.
- 通过分子测序来确认致病原体,并记录成功的治疗.
主要方法:
- 一个6岁的女孩的临床评估,有5年的棕色手掌斑块史.
- 皮肤显微镜和直接的真菌显微镜用于初步诊断.
- 分子测序 (例如,ITS区域) 以精确识别病原体.
- 用局部抗真菌药膏进行治疗.
主要成果:
- 患者在右手掌上呈现出特有的棕色斑点.
- 临床和显微镜发现与黑相一致.
- 分子测序确定了致病原体为Hortaea werneckii.
- 随着局部抗真菌治疗,病变的完全消失得到了实现.
结论:
- 虽然很少见,但在儿童手掌多颜色的差异诊断中应考虑黑色.
- 临床,皮肤镜和真菌学方法的结合确保了准确的诊断.
- Hortaea werneckii是主要的原因,局部抗真菌药物是有效的治疗方法.
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