BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 危险因素的存在
  • 皮肤、头发或甲病变史
  • 皮肤不适
  • 头皮脱屑

其他诊断因素

  • 指/趾甲增厚,甲下角化过度,甲剥离,伴白黄色至棕色的色变
  • 甲板表面的白色斑点、断甲
  • 淋巴结病
  • 指端无脉

危险因素

  • 接触感染的人、动物或土壤
  • 接触帽子、梳子、发刷和室内装饰等传染物
  • 慢性外用或口服糖皮质激素
  • HIV

诊断性检查

需要考虑的检查

  • 伍德灯检查(紫外线)
  • 皮肤镜检(毛发镜检)
  • 真菌培养
  • 多聚酶链反应
全部具体信息

治疗流程

贡献者

Professor of Clinical Dermatology

Dermatology and Cutaneous Surgery

University of Miami Health System

FL

利益冲突披露
AT received honorarium and travel reimbursment from Valeant, PharmaDerm, and Polichem, and is on the speaker bureau for PharmaDerm.

Dr Antonella Tosti would like to gratefully acknowledge Dr Keira L. Barr and Dr Barry L. Hainer, the previous contributors to this monograph. KLB declares that she has no competing interests. BLH is on the speaker bureaus for the vaccine programmes of Merck and Sanofi-Pasteur pharmaceutical companies.

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Clinical Professor of Dermatology

Columbia University College of Physicians and Surgeons

New York City

NY

利益冲突披露
NS declares that she has no competing interests.

Department of Dermatology

UT Dermatology

Health Science Center of Houston

Houston

TX

利益冲突披露
CMG declares that she has no competing interests.

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