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表现为角膜下脓疱性皮肤病样皮疹的隐匿性疥疮

Scabies Incognito Presenting as a Subcorneal Pustular Dermatosis-like Eruption.

作者信息

Karaca Şemsettin, Kelekçi Kıymet Handan, Er Oğuz, Pektaş Bayram, Gökmen Ayşegül Aksoy

机构信息

Department of Dermatology, İzmir Atatürk Training and Research Hospital, İzmir, Turkey.

出版信息

Turkiye Parazitol Derg. 2015 Sep;39(3):244-7. doi: 10.5152/tpd.2015.3945.

Abstract

Scabies is a common parasitosis of the skin caused by Sarcoptes scabiei hominis. This infestation occurs in all geographic areas and across all age groups, races, and social classes. Poor economic conditions and lack of proper hygiene are risk factors for the disease. Subcorneal pustular dermatosis is characterized by numerous relapsing pustular eruptions on normal or mildly erythematous skin. The pustular eruption typically involves the flexural sites of the trunk and proximal extremities with pruritus and irritation symptoms. The pustules are superficial and rupture easily, resulting in a superficial crust, and they form annular, circinate, or serpiginous patterns. Here we reported a case of scabies incognito in an elderly woman that presented as subcorneal pustular dermatosis-like eruption. We assumed that this case could be reported because it is an unusual event among the general population. In conclusion, the differential diagnoses of skin diseases should be considered when diagnosing scabies. Thus, unnecessary therapy and contamination among people can be prevented.

摘要

疥疮是由人疥螨引起的一种常见的皮肤寄生虫病。这种感染在所有地理区域以及所有年龄组、种族和社会阶层中都有发生。经济条件差和缺乏适当的卫生条件是该疾病的危险因素。角层下脓疱性皮肤病的特征是在正常或轻度红斑皮肤上出现大量复发性脓疱疹。脓疱疹通常累及躯干和近端肢体的屈侧部位,伴有瘙痒和刺激症状。脓疱浅表,容易破裂,形成浅表痂皮,并形成环状、圆形或匐行性图案。在此,我们报告了一例老年女性隐匿性疥疮病例,其表现为角层下脓疱性皮肤病样皮疹。我们认为该病例值得报告,因为这在普通人群中是一个不寻常的事件。总之,诊断疥疮时应考虑皮肤病的鉴别诊断。因此,可以预防不必要的治疗和人群中的感染。

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