挪威疥致红皮病1例

报告1例挪威疥的诊疗经过.患者女,65岁,全身红斑、丘疹、鳞屑伴痒1个月.既往有脑梗死、高血压病史,入院诊断为红皮病.镜检发现大量疥虫.诊断:挪威疥;红皮症.治疗上予以外用硫磺软膏、消毒等对症支持治疗后,皮疹好转.     

挪威疥误诊为红皮病一例

患者,女,75岁。周身红斑、丘疹6个月伴糜烂、渗出4天,曾于当地诊所予以“西替利嗪片、糠酸模米松乳膏”治疗,症状无好转,皮疹逐渐泛发,我院门诊以“红皮病并皮肤感染”收入院。入院后第二天追问病史,既往曾有周身剧烈瘙痒,以腹部、指缝等部位为著,夜间加重,其家人有典型疥疮样皮损,为患者完善直接镜检见多个疥虫及虫卵。     

挪威疥1例

1 病历摘要 患者女,56岁.因全身皮肤反复出现丘疹伴瘙痒5个月,于2011年3月17日就诊.患者5个月前双腋下出现红斑、丘疹、脱屑,剧烈瘙痒,皮疹渐扩展至胸腹、四肢、指趾缝,外院诊断为"湿疹",对症处理疗效欠佳,病情加重,头皮出现大量痂皮,增多增厚,瘙痒加剧,夜间尤甚,难以入睡.既往史:甲状腺功能亢进经治疗后转变为甲状腺功能减退共10余年(现服甲状腺治疗);慢性肾炎及高血压病史半年,现口服泼尼松15 mg/d.     

表现为红皮病的挪威疥一例

患者,女,53岁。双上肢红斑、丘疹伴瘙痒1年,泛发全身3个月,曾误诊为"过敏",予抗组胺药、糖皮质激素软膏治疗,皮损未见明显好转。皮肤活检及显微镜镜检发现疥螨,给予氧化锌硫软膏外用。     

挪威疥1例

回顾性分析1例挪威疥疮的误诊经过及治疗、预后过程。患者男,76岁,患帕金森病、老年痴呆,长期卧床,卫生护理条件差,出现红斑、丘疹、大量糠状鳞屑,在多家医院诊断为湿疹。经镜检发现疥虫。诊断:挪威疥疮。给予硫磺软膏等治疗后痊愈。挪威疥疮皮损具多形性,和湿疹、红皮病等疾病的皮疹有相似之处,应结合病史、临床特点以及皮损处镜检、病理等进行诊断及鉴别诊断。     

挪威疥1例

回顾性分析1例挪威疥疮的误诊经过及治疗、预后过程。患者男,76岁,患“帕金森病、老年痴呆”,长期卧床,卫生护理条件差,出现红斑、丘疹、大量糠状鳞屑,在多家医院诊断为“湿疹”。经镜检发现疥虫。诊断：挪威疥疮。给予硫磺软膏等治疗后痊愈。挪威疥疮皮损具多形性,和湿疹、红皮病等疾病的皮疹有相似之处,应结合病史、临床特点以及皮损处镜检、病理等进行诊断及鉴别诊断。     

挪威疥误诊1例

挪威疥又称结痂性疥疮或角化性疥疮，临床比较少见,但近年发病率亦有所增高，由于其临床表现不同于普通的疥疮，而与角化过度性湿疹、湿疹伴感染、银屑病等有一定的相似之处，极易误诊，并易造成传染。现将笔者诊治的1例挪威疥报道如下：     

挪威疥1例

1 临床资料 患者女,86岁,因双耳廓内及双手掌、腕部出现黄白色皮肤厚痂伴瘙痒1个月余就诊.患者长期居住康复医院,家属不能有效提供病史,既往病史不详.诉1周前无诱因下发现全身皮肤出现瘀斑、瘀点,双耳廓内及双手掌、腕部出现黄白色皮肤厚痂,面部、躯干多处抓痕1个月余.     

挪威疥误诊1例

报告1例挪威疥的误诊及治疗经过。患者男,75岁,躯干、四肢反复红斑、丘疹、脱屑伴瘙痒1年、手足肿胀1月。有类风湿性关节炎、高血压病病史,长期卧床,卫生护理条件差,在外院反复诊断为"湿疹""红皮病"。镜检发现大量疥虫。诊断:挪威疥。给予硫磺软膏外用,并辅以抗感染等治疗。临床医生应提高对该病的警惕和认识,结合病史、皮损特点及镜检等进行诊断,减少误诊,提高治愈率。     

挪威疥1例

目的：报道一例挪威疥，患者男性，85岁，胸、腹、背、四肢密集分布的红斑、丘疹、散在抓痕及血痂、手背、指缘片状厚层痂皮、阴囊无结节。痂皮处疥螨成虫镜检（ ）、外用丙体一六六六乳膏两周治愈。     

挪威疥疮1例

报告挪威疥疮１例。患者男６５岁，头皮，颈肩、胸背、上肢、手背大片厚层痂子，不易刮落，阴囊部抓痕，散在结节。瘙痒不明显。痂皮外疥螨成虫、虫卵镜检（＋）。外用硫柳膏治愈。     

挪威疥误诊一例

患者女,72岁,因老年痴呆长期在某老年养护中心住院。因全身红斑、脱屑伴痒1年,加重伴掌跖及头皮角化厚痂3周,经常搔抓影响睡眠。初起皮疹时曾诊断为湿疹、真菌感染,予以抗组胺药及抗真菌治疗效果不佳,患者皮损进一步加重而请皮肤科会诊……     

A Case of Scabies Complicated by Acute Glomerulonephritis

A 21-year-old male patient with scabies complicated by acute glomerulonephritis was reported. In the literature, such patients are prevalent in the tropical and subtropical zones, but only sporadic in the temperate zone. The incidence of such patients and the cause of glomerulonephritis were discussed.     

挪威疥误诊为药疹1例

患者男,20岁。入院时表现为全身皮肤弥漫性潮红、肿胀、脱屑、黏着性鳞屑,胸背部泛发粟粒大小的脓疱,双手黏着性黄厚痂,伴瘙痒、发热,诊断为药疹。取鳞屑镜检见大量疥虫和虫卵,确诊为挪威疥。外用硫磺软膏治愈。     

Scabies

Scabies is an ectoparasite caused by the mite Sarcoptes scabiei var hominis , an obligate human parasite. There are about 300 million cases of scabies in the world each year. Common predisposing factors are overcrowding, immigration, poor hygiene, poor nutritional status, homelessness, dementia, and sexual contact. Direct skin-to-skin contact between 15 and 20 minutes is needed to transfer the mites from one person to another. The diagnosis suspected with a clinical history of itch, worse at night, affecting other family members, clinical distribution, and appearance. Definite diagnosis relies on microscopic identification of the mites, eggs, or fecal pellets with 10% potassium hydroxide, ink enhancement, tetracycline fluorescence tests, or mineral oil; other methods include: epiluminescence light microscopy and S. scabiei DNA. The most commonly used treatment modalities are permethrin and ivermectin. Persistence of symptoms for 2–6 weeks after successful treatment is common. Most recurrences are because of reinfection from untreated contacts.     

挪威疥误诊2例

例1男,78岁。全身红斑、丘疹、鳞屑伴瘙痒40余天。曾在外院以"剥脱性皮炎"予糖皮质激素治疗,皮损短暂好转后又加重。例2男,80岁。全身丘疹、丘疱疹、细屑伴剧烈瘙痒20余天。在当地医院以"湿疹"予抗过敏治疗,皮损未见好转。刮取2例患者鳞屑做直接镜检,均发现典型的疥虫形态,诊断:挪威疥。经治疗痊愈。     

挪威疥

患者男，４０岁。主诉：全身起丘疹、脓疱、伴渗液、结厚痂和夜间剧痒３周。现病史：３周前起，患者先于臀部出现少量红色丘疹和脓疱，伴夜间瘙痒，当时因所在地医疗条件差，未及时就诊治疗。此后，皮损渐扩展至躯干、四肢和手掌，伴剧烈瘙痒，尤以夜间为甚，难以入睡。体检：一般情况差，精神萎靡，消瘦面容，全身营养差。各系统检查无异常。皮肤科情况：躯干、四肢散在大量暗红色丘疹、丘疱疹和脓疱，伴有表皮剥脱和结痂，并有恶臭。部分皮损表面有大量脓性分泌物。双手掌可见厚积的角化鳞屑斑，手指缝可见少许小水疱，部分手指伸侧也有厚…     

Scabies: A comprehensive review and current perspectives

Human scabies is a contagious skin infestation caused by the parasitic mite Sarcoptes scabiei var. hominis. It is a common skin disease worldwide that occurs not only in the underprivileged sections of society but also in developed countries. In 2009, World Health Organization (WHO) recognized scabies as “neglected tropical disease (NTD)” or NTD thus emphasizing the need for community awareness and proper treatment strategies. This review attempts to summarize the varied clinical presentation of the disease and describes the advances in diagnosis and management including the ongoing search for novel agents to overcome the problems associated with conventional treatments. The literature research includes peer‐reviewed articles (clinical trials or scientific reviews). Studies were identified by searching electronic databases (MEDLINE and PubMed) till February 2020 and reference lists of respective articles. Only articles published in English language were included.     

Scabies and pyodermas – diagnosis and treatment

Scabies and pyodermas are two of the commonest skin infections in tropical settings. They affect large numbers of people, particularly children, and account for a large burden of disease for peripheral health care teams. Despite this there have been significant advances in our knowledge of these diseases, their impact and their management. However there is a need to evaluate these developments in this specific setting, tropical health and in the context of communities with limited resources. This section will describe these advances and the challenges that remain.