PDF(Pubmed)
Abstract：
UNASSIGNED: Crusted scabies is a rare form of parasitic infection provoked by a massive infestation of the ectoparasite Sarcoptes scabiei varietas hominis on human skin. It is an extremely contagious type of disease and can even lead to a social stigma. In European countries like Greece, many cases remain undiagnosed for long periods, causing extreme distress in the patient\'s everyday life and social environment.
UNASSIGNED: Herein, we present a case of an 86-year-old woman with crusted scabies in Greece, who remained undiagnosed for 5 months. Massive hyperkeratotic plaques on the extremities, and face, palmoplantar keratoderma, and numerous small erythematous papules on the torso with extreme itch were the main clinical manifestations of the patient. Dermoscopy revealed the parasite. All necessary decontamination measures were taken by personnel. Treatment was administered and a complete cure of the disease was observed.
UNASSIGNED: In this case, the use of dermoscopy has attributed to precise crusted scabies diagnosis and acute pharmacological management of the patient. Early diagnosis of such diseases not only saves patients from lethal secondary infections, but also reduces the risk of a massive scabies outbreak. We also conducted a mini-review, analyzing all recent data concerning crusted scabies macroscopic, dermatoscopic, and histological images. All new information concerning the pathophysiological mechanism of crusted scabies manifestation, updated treatment options, and potential resistance to widely-used treatments are provided.
UNASSIGNED: Herein, we present a case of an 86-year-old woman with crusted scabies in Greece, who remained undiagnosed for 5 months. Massive hyperkeratotic plaques on the extremities, and face, palmoplantar keratoderma, and numerous small erythematous papules on the torso with extreme itch were the main clinical manifestations of the patient. Dermoscopy revealed the parasite. All necessary decontamination measures were taken by personnel. Treatment was administered and a complete cure of the disease was observed.
UNASSIGNED: In this case, the use of dermoscopy has attributed to precise crusted scabies diagnosis and acute pharmacological management of the patient. Early diagnosis of such diseases not only saves patients from lethal secondary infections, but also reduces the risk of a massive scabies outbreak. We also conducted a mini-review, analyzing all recent data concerning crusted scabies macroscopic, dermatoscopic, and histological images. All new information concerning the pathophysiological mechanism of crusted scabies manifestation, updated treatment options, and potential resistance to widely-used treatments are provided.
摘要：
■结痂是一种罕见的寄生虫感染形式，是由人皮肤上的体外寄生虫Sarcoptesscabieivarietashominis引起的。这是一种极具传染性的疾病，甚至可能导致社会耻辱。在像希腊这样的欧洲国家，许多病例长期得不到诊断，在患者的日常生活和社会环境中造成极度痛苦。
■这里，我们在希腊介绍了一个86岁的女人结痂的病例,5个月仍未确诊。四肢上大量的过度角化斑块，和脸,掌plant角化病，患者的主要临床表现是躯干上大量的小红斑丘疹，并伴有极度瘙痒。皮肤镜检查显示寄生虫。人员采取了所有必要的净化措施。给予治疗并观察到疾病的完全治愈。
■在这种情况下，皮肤镜检查的使用归因于对患者进行精确的结痂诊断和急性药物治疗。此类疾病的早期诊断不仅使患者免于致命的继发感染，而且还降低了大规模sc疮爆发的风险。我们还进行了一次小型审查,分析所有近期有关结痂的宏观数据，皮肤镜,和组织学图像。所有关于结痂表现的病理生理机制的新信息，更新的治疗方案，提供了对广泛使用的治疗的潜在抗性。
■这里，我们在希腊介绍了一个86岁的女人结痂的病例,5个月仍未确诊。四肢上大量的过度角化斑块，和脸,掌plant角化病，患者的主要临床表现是躯干上大量的小红斑丘疹，并伴有极度瘙痒。皮肤镜检查显示寄生虫。人员采取了所有必要的净化措施。给予治疗并观察到疾病的完全治愈。
■在这种情况下，皮肤镜检查的使用归因于对患者进行精确的结痂诊断和急性药物治疗。此类疾病的早期诊断不仅使患者免于致命的继发感染，而且还降低了大规模sc疮爆发的风险。我们还进行了一次小型审查,分析所有近期有关结痂的宏观数据，皮肤镜,和组织学图像。所有关于结痂表现的病理生理机制的新信息，更新的治疗方案，提供了对广泛使用的治疗的潜在抗性。
