Đặc điểm lâm sàng và một số yếu tố liên quan của bệnh nấm da thân mức độ trung bình và nặng=Clinical characteristics and some related factors of tinea corporis

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Hữu Doanh Lê, Thị Minh Phương Phạm, Thị Huyền Trần, Thị Mùi Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Da liễu học Việt Nam, 2024

Mô tả vật lý: tr.24-34

Bộ sưu tập: Metadata

ID: 245178

Thêm vào giỏ

Describe clinical characteristics and analyze related factors of moderate to severe tinea corporis. Materials and methods: A cross-sectional descriptive study was conducted on 299 patients diagnosed with tinea corporis at the National Hospital of Dermatology and Venereology from August 2022 to August 2023. Patient histories and medical records were gathered, and clinical examinations were performed to assess various clinical characteristics and related factors. Results: Among the 299 patients, there were 176 males and 123 females, with a male-to-female ratio of 1.43. The average age was 39.3 ± 14.7 years, ranging from 18 to 80 years. The average duration of tinea corporis was 8.6 ± 2.1 months, predominantly exceeding 6 months (74.9%). Regarding severity, 81.6% had moderate tinea corporis, and 18.4% had severe cases. Common characteristics included lesions with a normal center (52.8%), localized sites (38.8%), well-defined borders (44.8%), continuous margins (45.5%), vesicular borders (33.8%), and a relapse rate of 52.8%. Commonly encountered lesions included scales (99.0%) and erythematous patches (79.9%), with the most prevalent lesion pattern being concentric (60.2%). Related factors included the summer season (54.8%), communal living (35.1%), use of damp clothing (36.1%), bathing with soap (62.2%), failure to change clothes before wearing (77.3%), and limited sun exposure to clothes (85.6%). The proportion of severe cases was higher among patients with an illness duration exceeding 6 months (22.2%) compared to those with an illness duration under 6 months (6.8%), with a p-value <
0.01. Similarly, in the relapse group, the proportion of severe cases was higher (26.2%) compared to the newly treated group (10.7%), with a p-value <
0.001. Conclusions: Tinea corporis exhibits a wide range of clinical lesions, varying from mild to severe levels. Related factors include the summer season, communal living, use of damp clothing, and limited sun exposure to clothes. Severity correlates with the duration of tinea corporis and relapse.Mô tả một số đặc điểm lâm sàng và phân tích các yếu tố liên quan của bệnh nấm da thân mức độ trung bình và nặng. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang trên 299 bệnh nhân được chẩn đoán xác định là nấm da thân tại Bệnh viện Da liễu Trung ương từ tháng 8/2022 đến tháng 8/2023. Người bệnh được khai thác tiền sử, bệnh sử, được khám bệnh để đánh giá một số đặc điểm lâm sàng và các yếu tố liên quan. Kết quả: Trong 299 bệnh nhân có 176 nam và 123 nữ, tỷ lệ nam/nữ là 1,43
tuổi trung bình là 39,3 ± 14,7
thấp nhất là 18, cao nhất là 80 tuổi. Thời gian mắc bệnh trung bình là 8,6 ± 2,1 tháng, trong đó chủ yếu là trên 6 tháng (74,9%). Mức độ bệnh trung bình chiếm 81,6%
mức độ nặng chiếm 18,4%. Tỷ lệ tổn thương lành trung tâm, khu trú, ranh giới rõ, bờ viền liên tục, có mụn nước bờ viền và tái phát lần lượt là 52,8%
38,8%
44,8%
45,5%
33,8% và 52,8%. Tổn thương thường gặp là vảy da (99,0%) và dát đỏ (79,9%)
hình dạng tổn thương điển hình chiếm tỷ lệ cao nhất là đồng tâm (60,2%). Các yếu tố làm tăng nguy cơ bệnh là mùa hè (54,8%), sống tập thể (35,1%), thường xuyên mặc quần áo ẩm (36,1%), thường xuyên tắm xà phòng (62,2%), không là quần áo trước khi mặc (77,3%), và ít hoặc không phơi quần áo dưới ánh sáng mặt trời (85,6%). Tỷ lệ bệnh nhân có mức độ bệnh nặng cao hơn ở nhóm có thời gian mắc bệnh trên 6 tháng (22,2%) so với nhóm dưới 6 tháng (6,8%) với p <
0,01
ở nhóm tái phát (26,2%) so với nhóm điều trị mới (10,7%) với p <
0,001. Kết luận: Bệnh nấm da thân có tổn thương lâm sàng đa dạng, mức độ bệnh từ trung bình tới nặng. Các yếu tố có liên quan tới bệnh là mùa hè, sống tập thể, mặc quần áo ẩm, không phơi quần áo dưới ánh sáng mặt trời. Mức độ bệnh nặng có liên quan với thời gian bị bệnh và sự tái phát.

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