[一名47岁男性的角化过度性斑块和全身性瘙痒]

[Hyperkeratotic plaques and generalized pruritus in a 47 year-old man].

作者信息

Illes M, Grunewald S, Treudler R, Bodendorf M O, Simon J C

机构信息

Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Universität Leipzig, Philipp-Rosenthal-Str. 23, 04103, Leipzig, Deutschland.

出版信息

Hautarzt. 2010 May;61(5):439-42. doi: 10.1007/s00105-010-1923-x.

DOI:10.1007/s00105-010-1923-x

PMID:20349028

Abstract

A 47-year-old man presented with generalized pruritic lesions that had persisted for 2 years and shown no response to therapy with topical corticosteroids. The identification of numerous mites in the patient's scales led to the diagnosis of crusted scabies. The lesions responded to systemic therapy with Ivermectin (Stromectol) and topical application of Permethrin (InfectoScab). As underlying factors we suspect the immunosuppressive therapy attempts with topical corticosteroids as well as alcohol abuse.

摘要

一名47岁男性出现全身性瘙痒性皮疹，持续2年，局部使用皮质类固醇治疗无效。在患者鳞屑中发现大量螨虫，从而诊断为结痂性疥疮。病变对伊维菌素（史克肠虫清）全身治疗及外用扑灭司林（疥得治）有反应。我们怀疑潜在因素是局部使用皮质类固醇的免疫抑制治疗尝试以及酗酒。