疥疮临床病程的现代特征

O. Denysenko, M. Y. Haievska, O. Denysenko
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Typical clinical manifestations of dermatosis werediagnosed in 47,4% of persons among patients with scabies, and atypical forms ofscabies: low-symptom (\"well-groomed\" or \"treated\"), complicated (pyoderma, allergicdermatitis and eczematization) and post-scabious lymphoplasia were diagnosed in morethan half (52.6%) of patients, which indicates the need for a comprehensive examinationof such patients to identify possible factors of the atypical and complicated clinicalcourse of dermatosis and planning of rational therapeutic and preventive measures forthese patients.Conclusion. 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摘要

目的。研究分析切尔诺夫茨地区近3年来成人疥疮的发病水平和临床病程特点。材料和方法。采用临床和统计研究方法对切尔诺夫茨地区近3年(2017-2019年)成人疥疮发病率及临床表现性质进行研究分析。据发现,在过去三年中,切尔诺夫茨地区成年人口中的疥疮发病率增加了1.46倍,城市人口中的疥疮发病率增加了1.93倍。疥疮患者中诊断为皮肤病的典型临床表现占47.4%,疥疮的非典型形式:半数以上(52.6%)的患者诊断为低症状(“精心梳理”或“治疗”)、并发症(脓皮病、过敏性皮炎、湿疹)和结痂后淋巴增生,提示需要对这类患者进行综合检查,以确定不典型和复杂的皮肤病临床病程的可能因素,并制定合理的治疗和预防措施。在过去三年中,切尔诺夫茨地区成年人口中的疥疮发病率有增加的趋势,特别是在城市居民中。在近年来疥疮的临床表现中,大多数(52.6%)为非典型皮肤病,在检查和治疗此类患者以及在人群中开展预防和卫生教育措施时应考虑到这一点。
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MODERN FEATURES OF THE CLINICAL COURSE OF SCABIES
Purpose. To study and analyze the level of morbidity and features of the clinical course ofscabies in adults in Chernivtsi region over the past three years.Material and methods. The study and analysis of the incidence rate and nature of clinicalmanifestations of scabies in adults in the Chernivtsi region over the last three years(2017-2019) using clinical and statistical research methods.Results. It has been found that the incidence rate of scabies among the adult populationof the Chernivtsi region over the past three years increased by 1.46 times, and amongthe urban population - by 1.93 times. Typical clinical manifestations of dermatosis werediagnosed in 47,4% of persons among patients with scabies, and atypical forms ofscabies: low-symptom ("well-groomed" or "treated"), complicated (pyoderma, allergicdermatitis and eczematization) and post-scabious lymphoplasia were diagnosed in morethan half (52.6%) of patients, which indicates the need for a comprehensive examinationof such patients to identify possible factors of the atypical and complicated clinicalcourse of dermatosis and planning of rational therapeutic and preventive measures forthese patients.Conclusion. The incidence of scabies among the adult population of the Chernivtsi regionover the past three years has a tendency to increase, especially among urban residents.Among the clinical manifestations of scabies in recent years, most (52,6%) are atypicalforms of dermatosis, which should be taken into account while examining and treatingsuch patients, as well as when carrying out preventive and sanitary-educational measuresamong the population.
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