Aricò M, Noto G, La Rocca E, Pravatà G, Bivona A
Sezione di Dermatologia Sperimentale, University of Palermo, Italy.
Clin Exp Dermatol. 1992 Sep;17(5):339-41. doi: 10.1111/j.1365-2230.1992.tb00225.x.
Crusted scabies (CrS) is an uncommon occurrence among patients with AIDS. Indeed to date only five cases have been described, all with widespread lesions. A case of localized CrS appearing as a yellowish and crusted plaque on the second right toe is reported in a woman with AIDS. Scraping off the verrucous surface, as well as punch-biopsy revealed many mites within the horny layer. The infestation is related to the cutaneous immune response and thus CrS should be considered an opportunistic infestation in AIDS. The importance of the early diagnosis of CrS in order to prevent disseminated lesions and involvement of other health-care workers is underlined.
结痂性疥疮（CrS）在艾滋病患者中并不常见。事实上，迄今为止仅报道了5例，均有广泛的皮损。本文报道了1例艾滋病女性患者，其右侧第二趾出现一处局限性CrS，表现为淡黄色结痂斑块。刮除疣状表面以及进行钻孔活检均显示角质层内有许多螨虫。这种感染与皮肤免疫反应有关，因此CrS应被视为艾滋病中的一种机会性感染。强调了早期诊断CrS对于预防皮损播散及其他医护人员感染的重要性。
