Waagmeester Peter, van der Valk Pieter G M
Radboudumc, afd. Dermatologie, Nijmegen.
Contact: Peter Waagmeester (
Ned Tijdschr Geneeskd. 2022 Jan 27;166:D6178.
Scabies is a common skin condition, which is accompanied by severe itching and a high degree of contagiousness. Rapid diagnosis and adequate treatment for the patient and his contacts is therefore important. Recognizing scabies is not always easy. Patients may present with atypical skin lesions. Persistent itching, more intense at night, and itching in relatives can then lead to the clinical (probable) diagnosis. Demonstration of the mite and/or eggs in the skin can confirm the diagnosis, either by dermatoscopy or direct microscopy of skin scrapings. Treatment consists of applying permethrin cream and/or taking ivermectin tablets. Although resistance to these agents has been suggested, treatment failure is mainly caused by failure to properly implement the treatment recommendations by the patient and/or his or her contacts. We present three patients with scabies in which the diagnosis and treatment could have been performed better.
疥疮是一种常见的皮肤病，伴有剧烈瘙痒且传染性很强。因此，对患者及其接触者进行快速诊断和充分治疗非常重要。疥疮的诊断并不总是容易的。患者可能出现非典型皮肤损害。夜间持续性瘙痒加剧以及亲属出现瘙痒，进而可得出临床（可能）诊断。通过皮肤镜检查或皮肤刮片直接显微镜检查在皮肤中发现疥螨和/或虫卵可确诊。治疗包括涂抹氯菊酯乳膏和/或服用伊维菌素片。尽管有人提出对这些药物存在耐药性，但治疗失败主要是由于患者和/或其接触者未正确执行治疗建议所致。我们介绍三例疥疮患者，其诊断和治疗本可做得更好。
