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丝虫性象皮腿的治疗,目前尚未有理想的方法,特别在患者合并局部皮肤霉菌感染(如足癣)时,淋巴管炎更易复发。我们采用抗霉菌治疗后,对控制淋巴管炎复发和改善体征等方面均获得满意效果。现将结果报道如下。本组54例,都为门诊病例。其中男性12例,女性42例。年龄40～74岁(50～69岁40例),均有典型淋巴管炎发作史和足癣史。淋巴管炎发作年限自10年至56年不等,30年以上者有36例;足癣史年限自3年至45年,30年以上者43例;象皮腿年限自3年至48年不等,20年以上者39例。54例中21例患者有苔癣样变、棘刺和疣状赘生物等皮肤损害。所有患者的临床表现有浸渍型和鳞屑型两种,经霉菌分离培养,查见的菌种有红色表皮癣菌、石膏粉样癣菌和絮状表皮癣菌等。治疗时分两组。一组44例,选用复方水杨酸酒精溶液(水杨酸6克,苯甲酸3克,加75%
There is no ideal way to treat filarial leg like elephant legs. Lymphangitis is more likely to relapse especially when the patient is suffering from topical fungal skin infections such as tinea pedis. We used anti-fungal treatment, the control of lymphangitis recurrence and improvement of signs and other aspects are satisfactory results. The results are reported below. The group of 54 cases, all out-patient cases. Including 12 males and 42 females. Aged 40 to 74 years (50 to 69 years old in 40 cases), have a history of typical lymphangitis and tinea pedis history. The duration of lymphangitis episodes ranged from 10 to 56 years, with 36 cases over 30 years; the history of tinea pedis was from 3 years to 45 years, 43 cases were over 30 years; the leg length was from 3 years to 48 years Unequal, more than 20 years in 39 cases. Twenty-one of the 54 patients had skin lesions such as lichenoid change, spines and verrucous neoplasms. Clinical manifestations of all patients with impregnated and scaly type two, isolated and cultured by mold, check the species are red dermatophytes, gypsum Trichophyton rubrum and Epidermophyton floccosum and so on. Treatment divided into two groups. A group of 44 patients, the choice of compound salicylic acid alcohol solution (salicylic acid 6 grams, 3 grams of benzoic acid, plus 75%