Department of Dermatology and Venerology, Clinical Center Nis, Serbia.
J Korean Med Sci. 2010 Jan;25(1):188-91. doi: 10.3346/jkms.2010.25.1.188. Epub 2009 Dec 26.
It is a case study of a 62-yr-old female with crusted (Norwegian) scabies, which appeared during her treatment with systemic and topical corticosteroid therapy, under the diagnosis of erythroderma. In the same time, the patient had been suffered from hypothyoidism, and her skin changes were misdiagnosed, because it was thought that they are associated with her endocrine disorder. Suddenly, beside the erythema, her skin became hyperkeratotic, with widespread scaling over the trunk and limbs, and crusted lesions appeared on her scalp and ears. The microscopic examination of the skin scales with potassium hydroxide demonstrated numerous scabies mites and eggs. Repeated topical treatments with lindan, benzoyl benzoat and 10% precipitated sulphur ointment led to the complete resolution of her skin condition.
这是一位 62 岁女性的病例研究,她患有结痂性(挪威)疥疮,在诊断为红皮病期间,正在接受全身和局部皮质类固醇治疗时出现。同时,该患者患有甲状腺功能减退症,她的皮肤变化被误诊,因为人们认为这与她的内分泌紊乱有关。突然间,在红斑旁边,她的皮肤变得过度角化,躯干和四肢广泛脱屑,头皮和耳朵上出现结痂病变。用氢氧化钾对皮肤鳞屑进行的显微镜检查显示出大量疥螨和卵。反复使用林丹、苯甲酸苄酯和 10%硫磺软膏进行局部治疗,使她的皮肤状况完全得到缓解。
J Korean Med Sci. 2009-12-26
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