Cheikhrouhou Sarra, Trabelsi Sonia, Aloui Dorsaf, Bouchekoua Meriem, Khaled Samira
Tunis Med. 2020 Mar;98(3):241-245.
Skin lesions caused by avian mite bites are uncommon and often misdiagnosed. They are usually caused by bites from avian mites that have infested domestic poultry or birds nesting in or near human habitation. We report three cases of human skin lesions from avian mites infesting pigeons.
Three persons working in the same place developed similar skin pruritic papules simultaneously. The diagnosis remained unknown until Dermanyssus gallinae (chicken mite) was found on the computer's table of the three individuals workplace, situated near a window where pigeons used to live. Antihistaminic treatment was carried out with a skin disinfestation. In two cases, symptoms resolved after one week of treatment. In the third case, corticosteroids were needed.
Avian mite bites skin lesions can remain unrecognized or misdiagnosed. Inquiry about contact with pigeons or poultry may be helpful in patients with nonspecific skin lesions.
禽螨叮咬引起的皮肤病变并不常见，且常被误诊。它们通常由寄生于家禽或在人类居住场所内或附近筑巢的鸟类身上的禽螨叮咬所致。我们报告了三例因感染鸽子的禽螨而导致的人类皮肤病变病例。
在同一地点工作的三个人同时出现了类似的皮肤瘙痒性丘疹。在这三个人工作场所靠近曾有鸽子栖息的窗户的电脑桌上发现鸡皮刺螨（鸡螨）之前，诊断一直不明。采用了抗组胺治疗并进行了皮肤除虫处理。两例患者在治疗一周后症状缓解。第三例患者则需要使用皮质类固醇。
禽螨叮咬引起的皮肤病变可能未被识别或误诊。对于有非特异性皮肤病变的患者，询问其与鸽子或家禽的接触情况可能会有所帮助。
