Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Postgraduation in Medical Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
An Bras Dermatol. 2021 Nov-Dec;96(6):735-745. doi: 10.1016/j.abd.2021.04.007. Epub 2021 Oct 5.
Dermoscopy is an essential in vivo diagnostic technique in the clinical evaluation of skin tumors. Currently, the same can also be said about its implications when approaching different clinical situations in Dermatology. A growing number of reports on dermatological scenarios and diseases have been published, in which dermoscopy has been of great diagnostic help. The term "entomodermoscopy" was coined to describe dermoscopic findings in skin infestations and also in dermatoses of infectious etiology. In part I of this article, the main dermoscopic descriptions of zoodermatoses and bacterial infections will be addressed. In many of them, such as scabies, pediculosis, myiasis, and tungiasis, it is possible to identify the pathogen and, consequently, attain the diagnosis more quickly and use the technique to follow-up therapeutic effectiveness. In other situations that will be described, dermoscopy can allow the observation of clinical findings with greater detail, rule out differential diagnoses, and increase the level of confidence in a clinical suspicion.
皮肤镜检查是皮肤肿瘤临床评估中一种必不可少的体内诊断技术。目前，在皮肤科遇到不同临床情况时，它也具有重要意义。越来越多的关于皮肤科情况和疾病的报告已经发表，其中皮肤镜检查对诊断有很大帮助。“昆虫皮肤镜检查”一词被用来描述皮肤寄生虫感染和感染性皮肤病的皮肤镜检查结果。在本文的第一部分，将介绍动物皮肤病和细菌感染的主要皮肤镜描述。在许多情况下，如疥疮、虱病、蝇蛆病和麦地那龙线虫病，可以识别病原体，并因此更快地做出诊断，并使用该技术来监测治疗效果。在其他将描述的情况下，皮肤镜检查可以更详细地观察临床发现，排除鉴别诊断，并提高对临床怀疑的可信度。
