Korean Journal of Clinical Laboratory Science (대한임상검사과학회지)

Korean Society for Clinical Laboratory Science (대한임상검사과학회)
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Incidence Trends of Dermatophytoses Isolated in Children

소아에서 분리된 피부진균증의 발생경향

  • Received : 2018.10.20
  • Accepted : 2018.11.08
  • Published : 2018.12.31
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Abstract

From January 2 to December 30, 2017, out of 691 children diagnosed with dermatophytoses infection, 179 children had infections caused by Trichophyton among the total 13,093 patients who visited the Dermatology department. According to a survey, the patients included 317 adolescents, 203 elementary school age children, and 171 infants. In seasonal variation, the diagnosis was higher in summer (195 cases, 28%) and winter (191, 28%) and comparatively lower in spring (165, 24%) and autumn (140, 20%). The infection among the patients was caused by, from maximum to minimum, T. pedis (351, 51%), T. corporis (91, 13%), and T. unguinum (77, 11%). In all age groups, the highest number of patients were infected with T. pedis. After T. pedis, in descending order, the infection was caused by T. corporis, T. unguinum, T. manus and Tinea capitis in the infants and elementary school age children and by T. corporis, T. unguinum and T. cruris in adolescents. Among infections caused by Trichophyton, T. rubrum was the highest isolated causative agent. This data analysis confirmed the distribution of dermatophytoses and the different species according to paediatric age and will aid the study of paediatric dermatomycosis through continuous research.

2017년 1월 2일부터 12월 30일까지 내원한 검사환자 13,093명 중 소아청소년환자는 691명이며 백선균 분리환자는 179명으로 25.9%가 분리되었다. 분석 결과 전체 소아환자 691명 중 남성은 423명으로 61%이며 여성은 268명으로 39%로 분포하였다. 연령군별 조사에서는 신체변화가 가장 많은 시기인 사춘기(317, 46%)에서 높게 나타났고 다음으로 학령기(203, 29%)와 영유아기(171, 25%)의 순서로 나타났다. 계절별 조사에서는 여름(195, 28%)과 겨울(191, 28%)이 높게 분리되었고 봄(165, 24%)과 가을(140, 20%)의 순으로 분리되었다. 부위별로는 족부백선(353, 51%)로 가장 많았으며 다음 순으로는 몸백선(91, 13%), 조갑백선(77명, 11%), 사타구니백선(55, 8%), 두부백선(39, 6%), 수부백선(29, 4%), 그리고 얼굴백선(22, 3%)의 순으로 분리되었다. 연령별에 따른 부위별 질환은 소아연령 모두에서 족부백선이 가장 많이 분리되었고 다음 순으로는 유아기와 학령기에서는 몸백선, 조갑백선, 수부백선, 그리고 두부백선의 순으로 분리되었다. 사춘기에서는 몸백선, 조갑백선, 그리고 사타구니백선으로 분리되었다. 원인균종은 Trichophyton rubrum이 가장 많이 분리되었다. 본 자료분석을 통해 소아의 발달단계에 따른 백선의 분포와 분리균종을 확인하였으며 향후 지속적인 자료수집을 통해 소아피부진균증의 분포 추이에 도움이 될 것으로 사료된다.

Keywords

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