Woloski Jason R, Burman Deepa, Adebona Olumuyiwa
Family Medicine Residency Program, Geisinger Health System, Geisinger Commonwealth School of Medicine, 1000 East Mountain Drive, Wilkes-Barre, PA 18711, USA.
Family Medicine, University of Pittsburgh Medical Center (UPMC) McKeesport, Latterman Family Health Center, UPMC McKeesport Family Medicine Residency, 2347 Fifth Avenue, McKeesport, PA 15132, USA.
Prim Care. 2018 Sep;45(3):409-421. doi: 10.1016/j.pop.2018.05.002.
Patients with suspected bites or skin rashes regularly present to their primary care physician. Common mite infections encountered in the primary care office include scabies, chiggers, grain itch, and allergic responses from dust mites. In fact, scabies is one of the 50 most prevalent diseases worldwide. Bed bugs are also becoming increasingly common, living in dark crevices, such as mattresses, feeding at night, and causing a maculopapular immune mediated allergic skin response in humans. Proper identification of the mite or bed bug is essential to guide treatment and eradication.
疑似被叮咬或出现皮肤皮疹的患者经常会去看他们的初级保健医生。在初级保健诊所常见的螨虫感染包括疥疮、恙螨、谷痒症以及尘螨引起的过敏反应。事实上,疥疮是全球50种最常见的疾病之一。臭虫也越来越普遍,它们生活在黑暗的缝隙中,如床垫里,在夜间进食,并在人类身上引起斑丘疹免疫介导的过敏性皮肤反应。正确识别螨虫或臭虫对于指导治疗和根除至关重要。