Aetiology of tinea capitis in China: a multicentre prospective study

被引：53

作者：

Chen, X-Q ^{[1
]}

Zheng, D-Y ^{[2
]}

Xiao, Y-Y ^{[3
]}

Dong, B-L ^{[4
]}

Cao, C-W ^{[2
]}

Ma, L. ^{[3
]}

Tong, Z-S ^{[4
]}

Zhu, M. ^{[5
]}

Liu, Z-H ^{[6
]}

Xi, L-Y ^{[7
]}

Fu, M. ^{[8
]}

Jin, Y. ^{[9
]}

Yin, B. ^{[10
]}

Li, F-Q ^{[11
]}

Li, X-F ^{[12
]}

Abliz, P. ^{[13
]}

Liu, H-F ^{[14
]}

Zhang, Y. ^{[15
]}

Yu, N. ^{[16
]}

Wu, W-W ^{[17
]}

Xiong, X-C ^{[18
]}

Zeng, J-S ^{[19
]}

Huang, H-Q ^{[20
]}

Jiang, Y-P ^{[21
]}

Chen, G-Z ^{[22
]}

Pan, W-H ^{[23
]}

Sang, H. ^{[24
]}

Wang, Y. ^{[25
]}

Guo, Y. ^{[26
]}

Shi, D-M ^{[27
]}

Yang, J-X ^{[28
]}

Chen, W. ^{[1
]}

Wan, Z. ^{[1
]}

Li, R-Y ^{[1
]}

Wang, A-P ^{[1
]}

Ran, Y-P ^{[29
]}

Yu, J. ^{[1
]}

机构：

[1] Peking Univ First Hosp, Natl Clin Res Ctr Skin & Immune Dis, Dept Dermatol & Venereol, Beijing Key Lab Mol Diag Dermatoses,NMPA Key Lab, Beijing, Peoples R China

[2] Guangxi Med Univ, Dept Dermatol & Venereol, Affiliated Hosp 1, Nanning, Peoples R China

[3] Capital Med Univ, Beijing Childrens Hosp, Natl Ctr Childrens Hlth, Dept Dermatol, Beijing, Peoples R China

[4] Wuhan 1 Hosp, Dept Dermatol, Wuhan, Peoples R China

[5] Fudan Univ, Huashan Hosp, Shanghai Med Coll, Dept Dermatol, Shanghai, Peoples R China

[6] Zhejiang Univ, Hangzhou Peoples Hosp 3, Affiliated Hangzhou Dermatol Hosp, Dept Dermatol,Sch Med, Hangzhou, Peoples R China

[7] Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Dept Dermatol, Guangzhou, Peoples R China

[8] Xijing Hosp, Dept Dermatol, Xian, Peoples R China

[9] Dermatol Hosp Jiangxi Prov, Dept Dermatol, Nanchang, Jiangxi, Peoples R China

[10] Chengdu Second Peoples Hosp, Dept Dermatol, Chengdu, Peoples R China

[11] Second Hosp Jilin Univ, Dept Dermatol, Changchun, Peoples R China

[12] Chinese Acad Med Sci & Peking Union Med Coll, Inst Dermatol, Nanjing, Peoples R China

[13] Xinjiang Med Univ, Dept Dermatol, Affiliated Hosp 1, Urumqi, Peoples R China

[14] Southern Med Univ, Dept Dermatol, Dermatol Hosp, Guangzhou, Peoples R China

[15] Tianjin Acad Tradit Chinese Med, Dept Dermatol, Affiliated Hosp, Tianjin, Peoples R China

[16] Ningxia Med Univ, Dept Dermatol, Gen Hosp, Yinchuan, Ningxia, Peoples R China

[17] Fifth Peoples Hosp Hainan Prov, Dept Dermatol, Haikou, Hainan, Peoples R China

[18] North Sichuan Med Coll, Dept Dermatol, Affiliated Hosp, Nanchong, Peoples R China

[19] Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Dept Dermatol, Wuhan, Peoples R China

[20] Sun Yat Sen Univ, Affiliated Hosp 3, Dept Dermatol & Venereol, Guangzhou, Peoples R China

[21] Guizhou Med Univ, Dept Dermatol, Affiliated Hosp, Guiyang, Peoples R China

[22] Qingdao Univ, Dept Dermatol, Affiliated Hosp, Qingdao, Peoples R China

[23] Naval Mil Med Univ, Shanghai Changzheng Hosp, Dept Dermatol, Shanghai, Peoples R China

[24] Nanjing Univ, Jinling Hosp, Dept Dermatol, Med Sch, Nanjing, Peoples R China

[25] Changhai Hosp Shanghai, Dept Dermatol, Shanghai, Peoples R China

[26] Kunming Med Univ, Dept Dermatol, Affiliated Hosp 2, Kunming, Yunnan, Peoples R China

[27] Jining 1 Peoples Hosp, Dept Dermatol, Jining, Peoples R China

[28] Harbin Med Univ, Dept Dermatol, Affiliated Hosp 2, Harbin, Peoples R China

[29] Sichuan Univ, West China Hosp, Dept Dermatol, Chengdu, Peoples R China

来源：

BRITISH JOURNAL OF DERMATOLOGY | 2022年 / 186卷 / 04期

关键词：

EPIDEMIOLOGY; INFECTIONS; EVOLUTION;

D O I：

10.1111/bjd.20875

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

Background Tinea capitis is still common in developing countries, such as China. Its pathogen spectrum varies across regions and changes over time. Objectives This study aimed to clarify the current epidemiological characteristics and pathogen spectrum of tinea capitis in China. Methods A multicentre, prospective descriptive study involving 29 tertiary hospitals in China was conducted. From August 2019 to July 2020, 611 patients with tinea capitis were enrolled. Data concerning demography, risk factors and fungal tests were collected. When necessary, the pathogens were further identified by morphology or molecular sequencing in the central laboratory. Results Among all enrolled patients, 74 center dot 1% of the cases were in patients aged 2-8 years. The children with tinea capitis were mainly boys (56 center dot 2%) and were more likely than adults to have a history of animal contact (57 center dot 4% vs. 35 center dot 3%, P = 0 center dot 012) and zoophilic dermatophyte infection (73 center dot 5% vs. 47%). The adults were mainly female (83%) and were more likely than children to have anthropophilic agent infection (53% vs. 23 center dot 9%). The most common pathogen was zoophilic Microsporum canis (354, 65 center dot 2%), followed by anthropophilic Trichophyton violaceum (74, 13 center dot 6%). In contrast to the eastern, western and northeastern regions, where zoophilic M. canis predominated, anthropophilic T. violaceum predominated in central China (69%, P < 0 center dot 001), where the patients had the most tinea at other sites (20%) and dermatophytosis contact (26%) but the least animal contact (39%). Microsporum ferrugineum was the most common anthropophilic agent in the western area, especially in Xinjiang province. Conclusions Boys aged approximately 5 years were the most commonly affected group. Dermatologists are advised to pay more attention to the different transmission routes and pathogen spectra in different age groups from different regions.

引用

页码：705 / 712

页数：8

共 33 条

[1]

Ayodele Ekundayo Halimat, 2021, Afr J Infect Dis, V15, P1, DOI 10.21010/ajid.v15i1.1

[2] Changing in the Epidemiology of Tinea Capitis among School Children in Egypt [J].