陕西腋毛癣1例

徐倩

(陕西中医药大学临床医学系陕西咸阳712046)

摘要腋毛癣患者女，30岁，双侧腋毛附着黄白色黏着物，查体显示患处腋毛自根部起包绕胶样鞘状物，光镜下观察毛干见不规则菌鞘包绕，诊断为腋毛癣，予以剔除并每日涂抹红霉素软膏观察。

关键词腋毛癣;微小棒状杆菌;红霉素软膏

作者简介：徐倩(1985- )，女，汉族，硕士，陕西中医药大学，临床医学系

【中图分类号】R379.2+2

1 Case of Trichomycosis Axillaris in Shaanxi province

XuQian(Shaanxi University of Traditional Chinese Medicine, Xianyang Shaanxi 712046)

AbstractA 30 year-old female patient with trichomycosis axillaries fund some yellow and white matters which was very viscous around her bilateral armpit hair. The armpit hair was surrounded by some colloidal things like sheath from the root to the tip. The hair shaft could be observed that it was surrounded by irregular mycoclena under microscope. The disease has been diagnosed as trichomycosis axillaries. Getting rid of the infected armpit hair, then, the infected part should be embrocated with erythromycin ointment and observed.

Key words trichomycosis axillaries; corynebacterium tenuis; erythromycin ointment

1.病例资料

患者女，30岁，双侧腋毛附着黄白色黏着物5个月，陕西咸阳人，7个月前生产，月子期间洗澡时发现双侧腋下腋毛干上有黄白色附着物包绕，不易清除，稍有异味儿，偶尔轻微瘙痒，自以为汗液所致，未予处理。查体：双侧腋下皮肤正常，腋毛干枯发黄，部分腋毛自根部起包绕胶样鞘状物，触之粗糙有韧性且不易从毛干剥离。辅助检查：取患毛置光镜下观察，可见不规则菌鞘包绕毛干。诊断为腋毛癣，予以剔除腋毛，每日用红霉素软膏涂擦患处1次，平时注意腋下清洁干燥。1月后复诊右侧症状消除，新生腋毛无异常，左侧减轻。

2.讨论

腋毛癣( trichomycosis axillaris)是由微小棒状杆菌( corynebacterium tenuis)引起腋窝和阴部毛发的浅表性感染，临床表现为患处毛干黏着肉眼可见胶状黄色、红色或黑色颗粒或鞘状物不易剥脱清除，毛干失去光泽，褪色变脆，皮肤正常。夏季好发，常见于腋窝和阴部潮湿多汗者，卫生不洁亦可诱发。病原菌微小棒状杆菌是类白喉杆菌的一种，革兰氏染色阳性，侵犯腋毛和阴毛，寄生于毛表皮的细胞内和细胞间，可侵及毛皮质，不侵犯毛根及皮肤。红霉素抗菌谱与青霉素近似，对革兰氏阳性菌有较强抑制作用，故其制剂可用于此病的治疗。

腋毛癣好发于南方气候炎热地区，北方少见，陕西地区罕见。推测本例患者系因月子期间生活环境较封闭，体虚汗多，不能经常洗澡而诱发本病。