体外寄生虫：疥疮。

Ectoparasites: Scabies.

机构信息

Departments of Dermatology and Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Department of Dermatology, University of California, San Francisco, San Francisco, California.

出版信息

J Am Acad Dermatol. 2020 Mar;82(3):533-548. doi: 10.1016/j.jaad.2019.05.109. Epub 2019 Jul 13.

DOI:10.1016/j.jaad.2019.05.109

PMID:31310840

Abstract

Scabies is an ectoparasitic dermatosis caused by Sarcoptes scabiei var. hominis and is a public health issue in all countries regardless of socioeconomic status. In high-income countries, delays in diagnosis can lead to institutional outbreaks; in low- and middle-income countries, poor access to health care contributes to disease undertreatment and long-term systemic sequelae. With scabies now recognized as a neglected tropical disease by the World Health Organization, increased awareness and systematic efforts are addressing gaps in diagnosis and treatment that impede scabies control. This review summarizes the available data and provides an update on scabies epidemiology, clinical features, diagnosis, management, and public health considerations.

摘要

疥疮是由人疥螨引起的一种寄生虫性皮肤病，无论社会经济地位如何，都是所有国家的公共卫生问题。在高收入国家，诊断延迟可能导致机构内暴发；在低收入和中等收入国家，由于难以获得医疗保健，导致疾病治疗不足和长期的全身性后遗症。由于世界卫生组织现在已将疥疮确认为被忽视的热带病，因此提高认识和系统努力正在解决阻碍疥疮控制的诊断和治疗方面的差距。这篇综述总结了现有数据，并提供了疥疮流行病学、临床特征、诊断、治疗和公共卫生注意事项的最新信息。