身上出现红斑丘疹或脱屑是不是在排毒呢？可不可以吃粽子呢？

大家好！一年一度的粽子节又到啦！祝大家端午节快乐！

端午节当然要吃粽子了。但是有一些人说湿气重的人不能吃粽子。比如有的脚气，或者其他皮肤癣菌病患者，身上出现红斑、丘疹或脱屑，这些症状常被认为是身体湿气重，在排毒。

皮肤癣菌病是十分常见的疾病，这些患者宝宝可不可以吃粽子呢？让我们来看看～

皮肤癣菌病是由真菌引起的常见浅表皮肤感染。它可以导致发痒，红色，圆形皮疹。癣可以影响身体（体癣），头皮（头癣），腹股沟区域（股癣，也称为股癣）或脚（足癣，也称为脚癣）的皮肤。

Hello everyone！Happy Dragon-Boat Festival!

Zongzi, a traditional food made of principally glued rice is the absolute stay-on for this festival. Some people hold the opinion that people with dematophytosis should hold back on consumption of this type of food. Is that true? Let's take a look.

Dermatophytosis are common skin infection caused by fungus. It can also be called ringworm, despite the name, ringworm is not caused by a worm. It’s called ringworm because it can cause an itchy, red, circular rash. Ringworm can affect skin on the body (tinea corporis), scalp (tinea capitis), groin area (tinea cruris, also called jock itch), or feet (tinea pedis, also called athlete’s foot).

皮肤浅表真菌感染的来源是什么？

Sources of infection

大约40种不同种类的真菌可以引起癣（毛癣菌，小孢子菌，表皮癣菌......），导致癣的真菌可以生活在皮肤和环境中。癣可以传播的主要方式有三种：
1 - 来自患有癣的人：人们在与感染者接触后会感染癣。
2 - 来自有癣的动物：人们在接触有癣的动物后会感染癣。
3 - 来自环境：导致癣的真菌可以生活在表面上，特别是在更衣室和公共淋浴等潮湿地区。

Approximately 40 differents species of fungi can cause ringworm (Trichophyton, Microsporum, Epidermophyton…),  the fungi that cause ringworm can live on skin and in the environment. There are three main ways that ringworm can spread:
1-From a person who has ringworm: People can get ringworm after contact with someone who has the infection.
 2-From an animal that has ringworm: People can get ringworm after touching an animal that has ringworm.
3-From the environment: The fungi that cause ringworm can live on surfaces, particularly in damp areas like locker rooms and public showers.

皮肤浅表真菌感染的症状是什么?

Symptoms

癣几乎可以影响身体任何部位的皮肤以及指甲和脚趾甲。症状通常在皮肤接触引起癣的真菌后4到14天出现。癣的症状通常取决于身体的哪个部位被感染，但它们通常包括：皮肤瘙痒，皮疹，红色，鳞片状或破裂的皮肤和脱发。癣在身体上的位置症状如下：
- 体癣是粉红色至红色环状（O形）斑块和斑块，具有凸起的鳞片状边缘，在周边扩张并趋向于在中央清除。

-足癣：症状包括脚趾之间的红色，肿胀，脱皮和皮肤瘙痒。脚底和脚跟也可能受到影响。在严重的情况下，脚上的皮肤会起水泡。

-头癣：头皮上的癣通常看起来像鳞片状，发痒，红色，圆形秃斑。秃斑可以增大，如果感染扩散，可能会形成多个斑点。

-股癣：症状看起来像鳞片状，发痒，红色斑点，通常在大腿皮肤皱褶的内侧。

-须癣（或颜面癣）：症状包括脸颊，下巴和上颈部的鳞屑，发痒，红斑。斑点可能会结痂或充满脓液，受影响的头发可能会脱落。

Ringworm can affect skin on almost any part of the body as well as fingernails and toenails. Symptoms typically appear between 4 and 14 days after the skin comes in contact with the fungi that cause ringworm. The symptoms of ringworm often depend on which part of the body is infected, but they generally include: Itchy skin, Ring-shaped rash, Red, scaly or cracked skin and Hair loss. Symptoms of ringworm by location on the body are as follow:

- Tinea corporis is pink-to-red annular (O-shaped) patches and plaques with raised scaly borders that expand peripherally and tend to clear centrally.
-Feet (tinea pedis or “athlete’s foot”): The symptoms include red, swollen, peeling, and itchy skin between the toes. The sole and heel of the foot may also be affected. In severe cases, the skin on the feet can blister.
-Scalp (tinea capitis): Ringworm on the scalp usually looks like a scaly, itchy, red, circular bald spot. The bald spot can grow in size and multiple spots might develop if the infection spreads.
-Groin (tinea cruris or “jock itch”): The symptoms looks like scaly, itchy, red spots, usually on the inner sides of the skin folds of the thigh.
-Beard (tinea barbae): The symptoms include scaly, itchy, red spots on the cheeks, chin, and upper neck. The spots might become crusted over or filled with pus, and the affected hair might fall out.

怎样预防皮肤浅表真菌感染？

Prevention

以下几条建议有助于预防皮肤浅表真菌感染：

√ 保持皮肤清洁干爽。
√ 穿上允许空气在脚周围自由流通的鞋子。
√ 不要赤脚走在更衣室或公共淋浴等区域。
√ 定期修剪指甲和趾甲，注意保持清洁。
√ 每天至少更换一次袜子和内衣。
√ 不要与患有癣的人共享衣服，毛巾，床单或其他个人物品。
√ 与宠物玩耍后，用肥皂和自来水洗手。如果您怀疑您的宠物患有癣，请带它去看兽医。
√ 如果是参与有激烈身体对抗运动的运动员，请在练习或比赛后立即淋浴，并保持所有运动装备和制服清洁。不要与其他运动员共享运动装备（头盔等）。

The following tips may help preventing dermatophyte infection:

√ Keep your skin clean and dry.
√ Wear shoes that allow air to circulate freely around your feet.
√ Don’t walk barefoot in areas like locker rooms or public showers.
√ Clip your fingernails and toenails short and keep them clean.
√ Change your socks and underwear at least once a day.
√ Don’t share clothing, towels, sheets, or other personal items with someone who has ringworm.
√ Wash your hands with soap and running water after playing with pets. If you suspect that your pet has ringworm, take it to see a veterinarian.
√ If you’re an athlete involved in close contact sports, shower immediately after your practice session or match, and keep all of your sports gear and uniform clean. Don’t share sports gear (helmet, etc.) with others players.

怎样治疗皮肤浅表真菌感染？

Treatments

-足癣：通常可以用非处方外用抗真菌产品治疗；如萘替芬酮康唑乳膏，可以使用其他药剂。慢性或广泛足癣可能需要口服抗真菌药物如特比萘芬，伊曲康唑或氟康唑治疗。此外，慢性足癣可能需要辅助治疗，如足粉或滑石粉，以防止皮肤浸渍。
-头癣：需要全身抗真菌药物治疗，因为局部抗真菌产品对治疗头癣无效。许多专家认为灰黄霉素是首选药物。特比萘芬还可用于4岁或以上患者的头癣。伊曲康唑和氟康唑也被证明是安全有效的。硫化硒洗发剂可用作辅助治疗。
-体癣/股癣：体癣和股癣通常可以用非处方抗真菌产品治疗。应建议患有股癣的患者保持腹股沟区域清洁干燥并穿上棉质内衣。患有广泛或复发感染的人可能需要全身性抗真菌治疗。

Tinea pedis: Athlete’s foot can usually be treated with over-the-counter topical antifungal products, such as naftifine hydrochloride and ketoconazole cream. Other agents can also be used. Chronic or extensive tinea pedis may require treatment with oral antifungal agents such as terbinafine, itraconazole, or fluconazole. In addition, chronic tinea pedis may require adjunctive therapy such as foot powder or talcum powder to prevent skin maceration.
Tinea capitis: Treatment with systemic antifungal medication is required, as topical antifungal products are ineffective for treatment of tinea capitis. Many experts consider griseofulvin to be the drug of choice. Terbinafine can also be use for tinea capitis in 4 years old patients or older. Itraconazole and fluconazole have been shown to be safe and effective too. Selenium sulfide shampoos can be used as adjunctive therapy.
Tinea corporis/cruris: Tinea corporis and tinea cruris can usually be treated with over-the-counter antifungal products. Patients who have tinea cruris should be advised to keep the groin area clean and dry and to wear cotton underwear. Persons who have extensive or recurrent infections may require systemic antifungal therapy.

说了这么多，大家应该知道，癣是由真菌感染引起，是皮肤接触传染，与排毒没有关系，因此皮肤浅表真菌感染患者是可以放心地吃粽子的～

With all that being said, we now know that dermatophytosis is causes by fungal infection via skin contact and has nothing to do with food. So patients may have Zongzi as they like.