儿童假肉芽肿疥疮。临床病例

G. R. Sagitova, A. A. Antonova, E. V. Smirnova, V. M. Sereda
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摘要

文章描述了一例假性疥疮的临床病例。10 岁儿童 G.的父母到居住地的儿科医生处就诊,主诉是左侧颈部出现疹子,且持续时间较长。男孩已经病了两个月。皮肤病学家对他进行了观察,怀疑他患了过敏性皮炎,并使用脱敏药物和皮质类固醇进行治疗。值得注意的是,在左侧颈部皮肤上发现了多个圆形的粉红色丘疹,其中一些丘疹上覆盖着出血的结痂。由于治疗效果不佳,而且怀疑是假性疥疮,医生给他开了 10 % 苯甲酸钠软膏。治疗开始后的第 4 天,病情出现好转趋势。因此,这个临床病例具有实际意义,可以引起医生的注意,全面询问病史,寻找导致病程延长的原因,并及时改变治疗方案。
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Pseudosarcoptic mange in a child. Case from practice
The article describes a clinical case of pseudoscabies. The parents of the child G., 10 yearsт old, turned to the pediatrician at the place of residence with complaints about sluggish and long-lasting rashes in the neck area on the left. The boy has been ill for two months. He was observed by a dermatovenereologist with suspected allergic dermatitis, received treatment with desensitizing drugs and corticosteroids. It was noteworthy that on the skin of the neck on the left, multiple papules of a rounded shape, pink in color were visualized, some of them were covered with hemorrhagic crusts. Due to the lack of effect from therapy and due to the fact that pseudo-scabies was suspected, a 10 % sodium benzyl benzoate ointment was prescribed. On the 4th day from the start of therapy, there was a positive trend. Thus, this clinical case is of practical interest for attracting the attention of doctors to a thorough history taking, searching for the causes leading to a protracted course of the disease and timely change of treatment regimen.
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