- 中国皮肤病性病图鉴(第3版)
- 朱学骏
- 198字
- 2021-12-13 16:19:45
皮肤癣菌肉芽肿 Dermatophytic Granuloma
是由皮肤癣菌侵入真皮及皮下组织引起的脓肿及肉芽肿性病变。常见于外伤或免疫功能受损者。
诊断要点:
分为限局型及播散型两种,皮损主要为结节、斑块、深在性肿块;严重时发生溃疡、窦道;偶可侵犯肌肉、骨骼等。
治疗要点:
系统应用敏感抗真菌药物,首选特比萘芬,也可选用伊曲康唑和氟康唑等,疗程3~6个月。
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P4-5-1_12878.jpg?sign=1739396502-bEXzjhylXC4dvwYQJ0QdTg81j28ZvA5O-0-6dc51bce69fff02d41fe0d287ce42ef9)
图4-5-1 皮肤癣菌肉芽肿
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P4-5-2_12881.jpg?sign=1739396502-eIZBhAJ9zx3sOzF3Ge9OLzcucJAXIPZs-0-e83ce2fc8c349a19550d5993d3bcdd46)
图4-5-2 皮肤癣菌肉芽肿
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P4-5-3_12882.jpg?sign=1739396502-M2x2GZZAilYAhfbxRtm2Y9UhQ7AuxVaV-0-a705db66bb5e85271784a35f2d6f73eb)
图4-5-3 皮肤癣菌肉芽肿
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P4-5-4_12883.jpg?sign=1739396502-zveo3ATzCgB1FyMyum4BxXJHrikckLdw-0-ac4768b63d3c6cf073c003e9fbdbcf2c)
图4-5-4 皮肤癣菌肉芽肿
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P4-5-5_12884.jpg?sign=1739396502-dENkYcoAxiOEqJdnShA1X9nPVpHqHQNW-0-d3ec2da6962e12c70d6c3c7069186776)
图4-5-5 皮肤癣菌肉芽肿