皮肤蝇蛆病的皮肤镜研究：其他发现。
A dermoscopic study of cutaneous myiasis: other findings.
机构信息
Departments of Dermatology and Venereology, Tanta University, Tanta, Egypt.
The Armed Forces Hospitals-Southern Region (AFHSR), Khamis Mushayt, Aseer Province, Saudi Arabia.
出版信息
Int J Dermatol. 2021 Jul;60(7):840-843. doi: 10.1111/ijd.15503. Epub 2021 Mar 8.
BACKGROUND
Myiasis is a cutaneous infestation by the larvae of dipterous flies. It can be furuncular/nodular, papular, or pustular. Diagnosis of cutaneous myiasis depends mainly on clinical examination especially for the nodular form. The latter two forms can present diagnostic difficulties. Dermoscopy has been reported to be helpful. This report illustrates some of the dermoscopic features of this condition.
METHODS
The history, clinical findings, and dermoscopic findings of 15 affected individuals were documented.
RESULTS
Dermoscopy in all patients showed the posterior end of larvae (creamy-white bodies and respiratory spiracles resembling birds' legs with digitated feet). Larval motility and bubbles were noticed in 15 and 10 of patients, respectively. Skin surrounding the larvae showed hypopigmentation in 11 patients and an increase in dilated capillaries in 13.
CONCLUSIONS
Dermoscopy can facilitate the diagnosis of myiasis particularly of the papular and pustular forms.
背景
蝇蛆病是一种由双翅目蝇类幼虫引起的皮肤寄生虫病。它可以表现为疖肿/结节状、丘疹状或脓疱状。皮肤蝇蛆病的诊断主要依赖于临床检查，尤其是结节状形式。后两种形式可能存在诊断困难。皮肤镜检已被报道有助于诊断。本报告说明了这种情况的一些皮肤镜特征。
方法
记录了 15 名受影响个体的病史、临床发现和皮肤镜检查结果。
结果
所有患者的皮肤镜检查均显示幼虫的后端（奶油白色的身体和呼吸螺旋，类似于鸟腿，有分趾的脚）。15 名患者中分别注意到幼虫的运动性和气泡，10 名患者中分别注意到幼虫的运动性和气泡。11 名患者的幼虫周围皮肤出现色素减退，13 名患者的扩张毛细血管增加。
结论
皮肤镜检可以帮助诊断蝇蛆病，特别是丘疹状和脓疱状形式。
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