아토피피부염 환자에서의 표재성 진균증 (Superficial Fungal Infection in Patients with Atopic Dermatitis)

서지정보

· 발행기관 : 대한피부과학회
· 수록지 정보 : 대한피부과학회지 / 47권 / 1호 / 1 ~ 5페이지
· 저자명 : 유광호, 김지영, 이갑석, 서성준, 홍창권

초록

Background: It is well known that patients with atopic dermatitis are prone to cutaneous infections, and especially
superficial fungal infection. However, a study on the relationship of superficial fungal infection in atopic dermatitis
patients has not yet been performed in Korea.
Objective: The purpose of this study is to evaluate the relationship of atopic dermatitis to superficial fungal
infection in Koreans.
Methods: We examined for evidence of superficial fungal disease in 2,153 atopic dermatitis patients and we
compared the findings to those of 126,777 non-atopic dermatitis patients who visited the Department of Dermatology
of Chung-Ang University from January 2003 to December 2007.
Results: Superficial fungal infections were more common in the atopic dermatitis patients (6%) than in the controls
(2.5%) (p＜0.05) and especially in the age group of the 1st and 2nd decades (p＜0.05). The seasonal prevalence of
superficial fungal infection was high during summer for both groups (38% vs 44%, respectively). The most common
site of fungal distribution was feet (Tinea pedis) for both groups (42.5% vs 28.1%, respectively). The prevalence of
coexisting superficial fungal infection was not significantly different in both groups (38.3% vs 39.9%, respectively).
The most common isolated organism was Trichophyton rubrum in both groups (52.7% vs 38%, respectively).
Conclusion: The study shows that the prevalence of superficial fungal infection in atopic dermatitis patients is
higher than that in controls. Therefore, we should consider the presence of combined superficial fungal infection in
recalcitrant atopic dermatitis patients and use antifungal agents for treatment.

영어초록

Background: It is well known that patients with atopic dermatitis are prone to cutaneous infections, and especially
superficial fungal infection. However, a study on the relationship of superficial fungal infection in atopic dermatitis
patients has not yet been performed in Korea.
Objective: The purpose of this study is to evaluate the relationship of atopic dermatitis to superficial fungal
infection in Koreans.
Methods: We examined for evidence of superficial fungal disease in 2,153 atopic dermatitis patients and we
compared the findings to those of 126,777 non-atopic dermatitis patients who visited the Department of Dermatology
of Chung-Ang University from January 2003 to December 2007.
Results: Superficial fungal infections were more common in the atopic dermatitis patients (6%) than in the controls
(2.5%) (p＜0.05) and especially in the age group of the 1st and 2nd decades (p＜0.05). The seasonal prevalence of
superficial fungal infection was high during summer for both groups (38% vs 44%, respectively). The most common
site of fungal distribution was feet (Tinea pedis) for both groups (42.5% vs 28.1%, respectively). The prevalence of
coexisting superficial fungal infection was not significantly different in both groups (38.3% vs 39.9%, respectively).
The most common isolated organism was Trichophyton rubrum in both groups (52.7% vs 38%, respectively).
Conclusion: The study shows that the prevalence of superficial fungal infection in atopic dermatitis patients is
higher than that in controls. Therefore, we should consider the presence of combined superficial fungal infection in
recalcitrant atopic dermatitis patients and use antifungal agents for treatment.

참고자료

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