收稿日期: 2024-09-06
修回日期: 2024-12-09
网络出版日期: 2025-04-28
Diagnosis of a case with scabies in a primary healthcare institution
Received date: 2024-09-06
Revised date: 2024-12-09
Online published: 2025-04-28
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 . DOI: 10.12140/j.issn.1000-7423.2025.02.025
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
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