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近年来,我们用酮康唑治疗脓癣39例,效果较好。病人年龄1～37岁,儿童多见。病程5天至6个月,平均52天。主要临床表现为头皮有数个隆起斑块,表面有脓疱、糜烂、脱发及腥臭味,挤压毛囊有少许渗液或脓血流出,触痛。病变直径最大12cm,局部毛发松动易拔除,耳后及枕骨下淋巴结均肿大。有16例同时并发体癣,2例全身泛发体癣30余处。11例有病畜接触史,20例有体癣病人接触交。患处毛发及皮屑真菌直接镜检均阳性,经培养鉴定为石膏样毛癣菌(粉状)9例,许兰氏毛癣菌1例。
In recent years, we use ketoconazole treatment of pus in 39 cases, the effect is better. Patients aged 1 to 37 years old, more common in children. Duration of 5 days to 6 months, an average of 52 days. The main clinical manifestations of the scalp with several bulging plaques surface pustules, erosion, hair loss and stench, squeeze the hair follicles have a little exudate or pus and blood outflow, tenderness. Lesion diameter of the largest 12cm, easy to remove local hair loose, ear and suboccipital lymph nodes were swollen. There are 16 cases of concomitant ringworm, 2 cases of systemic pan-hair ring more than 30. 11 cases of history of exposure to sick animals, 20 cases of contact with patients with ringworm. The affected area hair and dandruff fungus direct microscopy were positive, identified as plaster-like Trichophyton (powdery) in 9 cases, 1 case of Trichophyton spermatophila.