최근 30년간 스포로트리쿰증 임상 병형의 추세에 대한 관찰 = A Study on the Changes of Clinical Findings in Sporotrichosis for Recent 30 Years

다국어 초록 (Multilingual Abstract)

Background: The clinical types of sporotrichosis are generally classified into four group: lymphocutaneous, fixed cutaneous, and cutaneous disseminated, and hematogenous. Of these, the lymphocutaneous variety is the most frequently encountered pattern, constituting 80% of sporotrichosis patients and the fixed cutaneous sporotrichosis is the next. Potassium iodide (KI) was the most commonly used drug for the treatment of sporotrichosis. Many studies about these clinical findings of sporotrichosis have been reported, but comparative study on the changes in clinical findings has not been reported.
Objective: The purpose of this study is to clarify the changes of the clinical findings in sporotrichosis in Korea.
Methods: A total of 58 patients with sporotrichosis who had visited the Department of Dermatology, Pusan National University were divided into 2 groups according to the period and then the clinical findings of sporotrichosis were compared.
Results: The results of study are summarized as follows:
1. During this period, there were 58 cases of sporotrichosis. In the past period (1967~1979) there were 35 cases of sporotrichosis, and there were 23 cases in the recent period (1980~1997)
2. In the past period, most cases (71.4%) were lymphocutaneous type, however in the recent period, most cases (69.2%) were fixed cutaneous type.
3. The most commonly affected site was right upper extremity in the past period, but face fright upper extremity were the most commonly affected sites in the recent period.
4. In the past period, 2nd and 3rd decades were prevalent age group, but 5th to 7th decades were prevalent age group in the recent period.
5. In the treatment of sporotrichosis, potassium iodide (KI) was the choice of treatment in the past period, however itraconazole is gradually used in the recent period.
Conclusion: According to this study, many changes in clinical findings of sporotrichosis were noted, especially in the clinical type. We found that clnical type of sporotrichosis changed from
lymphocutaneous type to the fixed cutaneous type with time. And we suggest that further observation would be necessary to define the meaning of these changes.

목차 (Table of Contents)

• 1.서론
• 2.결과
• 1.연도별 및 병형별 발생빈도
• 2.발병 당시의 연령 및 성별분포
• 3.병형별 발생연령
• 4.병변 발생부위
• 5.직업분포
• 6.계절별 발생빈도
• 7.배양소견 및 조직점편내에서의 진균성분의 증명여부
• 5.치료
• 3.고찰
• 4.결론