基层医疗中的1例皮肤疥疮的诊断

doi:10.12140/j.issn.1000-7423.2025.02.025

中国寄生虫学与寄生虫病杂志 ›› 2025, Vol. 43 ›› Issue (2): 301-303.doi: 10.12140/j.issn.1000-7423.2025.02.025

基层医疗中的1例皮肤疥疮的诊断

熊晔(), 胡琛^*()

上海中医药大学门诊部，上海 201203

收稿日期:2024-09-06 修回日期:2024-12-09 出版日期:2025-04-30 发布日期:2025-04-28
通讯作者: * 胡琛，女，本科，主治医师，从事全科医疗临床诊疗。Email：18101835953@189.cn
作者简介:熊晔，男，本科，主治医师，从事全科（中医）临床医疗工作。E-mail：15900767647@139.com

Diagnosis of a case with scabies in a primary healthcare institution

XIONG Ye(), HU Chen^*()

Integrated Outpatient Clinic, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China

Received:2024-09-06 Revised:2024-12-09 Online:2025-04-30 Published:2025-04-28
Contact: * Email：18101835953@189.cn

摘要/Abstract

摘要：

患者，男，46岁，上海市居民。2024年4月因“皮肤瘙痒”就诊于上海中医药大学内设门诊部全科医疗科。患者自述全身瘙痒14 d。患者在2024年3月有医院陪护留宿史。使用龙胆紫在患者腕部横纹处皮损行皮肤隧道染色，可见皮肤“细线样”染色。皮肤镜检查显示典型“喷气三角翼”征，分离获得的虫体显微镜下口器和2对前足清稀可见，明确为皮肤疥疮。建议患者以20%硫磺软膏治疗（2次/d）。连续治疗一个月后，瘙痒症状消失，皮肤镜再未查见典型皮损。

关键词: 疥疮, 皮肤镜, 皮肤隧道染色法, 虫体分离, 硫磺软膏, 苯甲酸苄酯

Abstract:

A 46-year-old male resident living in Shanghai was presented to Department of General Practice, Outpatient Department of Shanghai University of Traditional Chinese Medicine on April 2024, with complaints of itching all over the body for 14 days. He had a history of night medical chaperones in a hospital on March 2024. Skin tunnel staining of skin lesions on the patient’s wrist palmar crease with gentian violet showed “thread-like” staining, and dermatoscopy displayed a typical “jet with contrail sign”, with mites’ mouth and two pairs of forefoot. The case was therefore definitively diagnosed as scabies, and given treatment with 20% sulphur ointment twice a day for successive one month. Then, the itching symptoms disappeared and dermatoscopy did not detect typical skin lesions.

Key words: Scabies, Dermatoscope, Skin tunnel staining, Mite separation, Sulfur ointment, Benzyl benzoate

中图分类号:

R757.1

熊晔, 胡琛. 基层医疗中的1例皮肤疥疮的诊断[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(2): 301-303.

XIONG Ye, HU Chen. Diagnosis of a case with scabies in a primary healthcare institution[J]. Chinese Journal of Parasitology and Parasitic Diseases, 2025, 43(2): 301-303.

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参考文献 12

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基层医疗中的1例皮肤疥疮的诊断

Diagnosis of a case with scabies in a primary healthcare institution

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