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疥疮相关白细胞破碎性血管炎:一例报告及文献复习

Scabies-Associated Leukocytoclastic Vasculitis: A Case Report and Review of Literature.

作者信息

Alabbadi Amal, Alalwi Sukainah, Alkhalifah Rabab, Alfaraj Dunya, Albreiki Sara, Bin Rubaian Nouf, Alsagheer Mohammed

机构信息

Dermatology Department, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.

Emergency Department, Imam Abdulrahman Bin Faisal University, King Fahad University Hospital, Dammam, SAU.

出版信息

Cureus. 2021 Dec 26;13(12):e20725. doi: 10.7759/cureus.20725. eCollection 2021 Dec.

Abstract

Scabies is a common contagious ectoparasitosis. The association of scabies and leukocytoclastic vasculitis (LCV) is unclear, and only a few cases of scabies-related LCV have been documented. Here, we report a case of scabies complicated by LCV in an 86-year-old woman diagnosed with scabies and treated accordingly. The patient presented to our hospital with a one-day history of fever, increased rash, and itchiness. Histologic examination of a purpuric lesion revealed signs of LCV. Although histologic examination did not identify the scabies mite in the purpuric lesion, the LCV was likely a post-scabetic presentation following infestation based on other case reports, despite this being a rare occurrence.

摘要

疥疮是一种常见的传染性体表寄生虫病。疥疮与白细胞破碎性血管炎(LCV)之间的关联尚不清楚,仅有少数疥疮相关的LCV病例有文献记载。在此,我们报告一例86岁女性疥疮并发LCV的病例,该患者被诊断为疥疮并接受了相应治疗。患者因发热、皮疹增多和瘙痒一天前来我院就诊。对紫癜性皮损进行组织学检查发现了LCV的迹象。尽管组织学检查未在紫癜性皮损中发现疥螨,但根据其他病例报告,尽管这种情况罕见,LCV可能是感染疥疮后的一种表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2124/8711789/b8933c9a7976/cureus-0013-00000020725-i01.jpg

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