摘要
目的:探讨皮肤镜在儿童昆虫相关皮肤病中的应用。方法:回顾性分析我科2019年8月至2023年2月诊治的29例虱病、116例蜱叮咬、66例疥疮、30例蜂蜇伤的临床及皮肤镜资料。结果:29例虱病中,16例皮肤镜下发现虱虫卵,8例在毛发上同时观察到虫卵、成虫,5例为观察到患儿家长从毛发上拔除的成虫而诊断;蜱叮咬病例中,口器残留的皮损在皮肤镜下可观察到两类:一类是皮内可见棕色“八”字形色素沉着结构,属于残留可疑,另一类是一对触须样结构突出皮面,明确残留;66例疥疮中,61例均于皮肤镜下发现了隧道征、三角征;皮肤镜还可以用于辅助观察蜂蜇伤皮肤内有无蜂针残留。结论:皮肤镜在儿童虱病、蜱叮咬、疥疮及蜂蜇伤的明确诊断及处理上都有明显帮助,可提高医生的诊断率,且对于儿童无创安全。
Objective:To explore the application of dermoscopy in children s insect-related skin diseases.Methods:A retrospective analysis was performed on clinical and dermoscopic data from 29 cases of lice infestation,116 cases of tick bites,66 cases of scabies,and 30 cases of bee stings diagnosed and treated in our department from August 2019 to February 2023.Results:In 29 cases of pediculosis,16 cases were found to have nits under the dermoscopy,8 cases had both nits and adult lice observed on the hair,and 5 cases were diagnosed based on the observation of adult removed by the parents from the hair.In cases of tick bites,two types of skin lesions with residual mouthparts could be observed under the dermoscopy one type was a brown“eight”-shaped pigment deposition structure visible inside the skin,which belongs to suspicious residual,the other type was a pair of protruding antennae-like structures on the skin surface,clarifying residual.In 66 cases of scabies,tunnel signs and triangle signs were found in all 61 cases under the dermoscopy.Dermoscopy could also be used to assist in observing whether there was a bee sting residue in the skin after a bee sting injury.Conclusion:Dermoscopy has significant advantages in the accurate diagnosis and treatment of lice infestation,tick bites,scabies,and bee sting wounds in children.It can improve the diagnosis rate of doctors and is non-invasive and safe for children.
作者
张红叶
李敏
ZHANG Hongye;LI Min(Department of Dermatology,Children s Hospital of Nanjing Medical University,Nanjing 210017,China)
出处
《现代医学》
2024年第8期1255-1260,共6页
Modern Medical Journal
关键词
皮肤镜
昆虫
儿童
皮肤病
dermoscopy
insects
children
skin diseases
