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体癣是皮肤科常见病,非皮科医生也易见到。近年来我们发现不少被误诊误治的体癣病例。由于体癣是接触传染病,既易自身蔓延,又易相互传染,若长期误诊误治,特别是滥用激素,对人群,对患者都很不利,所以,这一问题值得重视。本文就此问题结合实例稍加讨论。病例简介许××,男,32岁,军队干部。因面部红斑、丘疹、瘙痒一年,于1980年9月初诊.一年前右面颊出现红斑,环形扩大。皮疹渐蔓延至额中部、双上睑、双颧部。曾被诊断为“接触性皮炎”、“日光湿疹”、“表皮癣”、“远心性环状红斑”、“颜面播散性粟粒狼疮”等。于是外用“复方水杨酸软膏(惠氏软膏)”、“灰黄霉素癣药水”等未愈。也曾多次外搽“肤轻松软膏”无效。检查见额中部、双睑、颧、鼻、上唇部有大片红斑,界清,外形不规则,边缘堤状隆起,轻度浸润。损害表面有白色薄屑。双上眼睑微肿。一般情况良好。1980年11月17日入院。入院时曾考虑扁平苔藓、环状肉芽肿、盘状红斑狼疮等。入院第2天,从面部鳞屑中查见真菌丝。按面癣给予1/4惠氏软膏外搽,但用后患部更红。改用1%克霉唑冷霜,同
Body ringworm is a common dermatology, non-pico is also easy to see. In recent years, we have found many cases of tinea corporis that have been misdiagnosed and mistakenly treated. Because tinea corporis is contagious, it is not only easy to spread itself, but also easy to spread to each other. If long-term misdiagnosis and mistreatment, especially abuse of hormones, is very detrimental to the population and patients, therefore, this issue deserves attention. This article on this issue a little discussion with examples. Case Profile Xu × ×, male, 32 years old, military cadres. Due to facial erythema, papules, itching a year, first diagnosed in September 1980. A year ago, right cheek erythema, annular expansion. Rash gradually spread to the amount of central, double upper eyelid, double zygomatic. Have been diagnosed as “contact dermatitis”, “sun eczema”, “epidermal ringworm”, “telecentric ring erythema”, “facial disseminated miliary lupus” and so on. So topical “compound salicylic acid ointment (Wyeth ointment)”, “griseofulvin ringworm syrup,” and so healed. Many times Waicha “skin soft ointment” invalid. Check see the amount of central, double eyelid, zygomatic, nasal, upper lip erythema, clear, irregular shape, the edge of the embankment uplift, mild infiltration. Damage to the surface of white thin crumbs. Double eyelid slightly swollen. Generally good. November 17, 1980 admission. Medications such as lichen planus, annular granuloma, discoid lupus erythematosus, etc. were considered at admission. On the second day of admission, check the fungal filament from facial scales. According to ringworm to give ¼ Wyeth ointment Waicha, but later with the affected area more red. Switch to 1% clotrimazole cold cream, the same