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Kaur L, Bansal A, Dayal S, Karwal A, Singh S. Disseminated cysticercosis with multi-system involvement in a child. Pediatr Dermatol 2023. [PMID: 36724898 DOI: 10.1111/pde.15222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Accepted: 11/29/2022] [Indexed: 02/03/2023]
Abstract
We report a rare case of disseminated cysticercosis in a 7-year-old Indian girl with recent onset seizures treated with antiepileptics for 2 months. When she presented to dermatology clinic, she had multifocal subcutaneous and submucosal nodules. The subsequent diagnostic workup revealed extensive neurocysticercosis as well as orbital and myocysticercosis.
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Affiliation(s)
- Lovleen Kaur
- Department of Dermatology, Venereology and Leprology, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Aanchal Bansal
- Department of Dermatology, Venereology and Leprology, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Surabhi Dayal
- Department of Dermatology, Venereology and Leprology, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Ambar Karwal
- Department of Dermatology, Venereology and Leprology, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Sunita Singh
- Department of Pathology, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
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2
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Kalra K, Whittington CP, Sevey W, Hunt E, Metz JB. Delusions of parasitosis and delusions of parasitosis by proxy in a mother and her children. Pediatr Dermatol 2022; 40:544-546. [PMID: 36519423 DOI: 10.1111/pde.15210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Accepted: 11/18/2022] [Indexed: 12/23/2022]
Abstract
Delusions of parasitosis by proxy is an uncommon entity wherein an individual projects a delusional belief onto another person who lacks capacity to hold the same belief. We report a case of delusions of parasitosis by proxy in a mother who believed that she was infested with scabies and projected her fixed, delusional belief of scabies infestation onto her children. She subjected her children to numerous home remedies and medical treatments as well as removing them from school in an effort to cure them of the supposed infestation. Child maltreatment can be a concern in such cases with a low threshold for involving child protective services if harm to the children is suspected.
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Affiliation(s)
- Kisha Kalra
- University of Vermont, Robert Larner College of Medicine, Burlington, Vermont, USA
| | - Carli P Whittington
- Division of Dermatology, Department of Internal Medicine, University of Vermont Medical Center, Burlington, Vermont, USA
| | - Whitney Sevey
- Departments of Pathology & Dermatology, University of Michigan, Ann Arbor, Michigan, USA
| | | | - James B Metz
- Departments of Pathology & Dermatology, University of Michigan, Ann Arbor, Michigan, USA
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3
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Ertugrul G, Aktas H. Comparison of sulfur ointment and permethrin treatments in scabies. Dermatol Ther 2022; 35:e15897. [PMID: 36193643 DOI: 10.1111/dth.15897] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Revised: 09/15/2022] [Accepted: 10/01/2022] [Indexed: 11/27/2022]
Abstract
Scabies is a contagious, parasitic skin disease that adversely affects the quality of life and, can cause systemic complications if it is not properly treated. Sulfur ointment and permethrin cream are among the most used topical agents in the treatment of scabies. In this study, we aimed to compare the efficacy of sulfur ointment and permethrin cream in the treatment of scabies. In this single-center study, patients who were diagnosed with scabies in the dermatology outpatient clinics of Karabuk University Training and Research Hospital between April, 2021 and September, 2021 were investigated retrospectively. Age, gender, date of diagnosis, topical agent used for scabies treatment, and response to the treatment at the control examination in the second week were recorded. The patients were divided into two groups those receiving 5% permethrin cream or 10% sulfur ointment, and the treatment efficacy of both agents was compared. This study showed that 10% sulfur ointment was significantly more effective in treating scabies than 5% permethrin cream (p < 0.001). Moreover, younger patients with scabies responded better to both treatments. 10% Sulfur ointment can be considered a safe and effective topical option in the treatment of scabies. The resistance to 5% permethrin cream, which is the most commonly used agent for scabies, can be a concern as an unexpected low success rate was obtained in this study.
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Affiliation(s)
- Goksen Ertugrul
- Department of Dermatology, Karabuk University, Faculty of Medicine, Karabuk, Turkey
| | - Habibullah Aktas
- Department of Dermatology, Karabuk University, Faculty of Medicine, Karabuk, Turkey
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4
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Knapp C, Vaz L, Onoday H, Small A. Dual treatment of cutaneous leishmaniasis with topical amphotericin B and photodynamic therapy in a pediatric patient. Pediatr Dermatol 2022; 39:761-763. [PMID: 35636952 DOI: 10.1111/pde.15042] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Accepted: 05/09/2022] [Indexed: 11/29/2022]
Abstract
Cutaneous leishmaniasis is a parasitic infection that can result in scarring, contributing to significant morbidity when a cosmetically sensitive area is involved. We report a case of a 13-year-old boy with cutaneous leishmaniasis involving the face and arm. He was treated with a combination of photodynamic therapy as well as topical amphotericin with a cosmetically satisfying outcome. This combination of noninvasive treatment regimens has not been reported to our knowledge and merits further study in the pediatric population.
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Affiliation(s)
- Calvin Knapp
- Department of Dermatology, Oregon Health and Science University, Portland, Oregon, USA
| | - Louise Vaz
- Division of Pediatric Infectious Disease, Doernbecher Children's Hospital, Oregon Health and Science University, Portland, Oregon, USA
| | - Heather Onoday
- Department of Dermatology, Oregon Health and Science University, Portland, Oregon, USA
| | - Alison Small
- Departments of Dermatology and Pediatrics, Doernbecher Children's Hospital, Oregon Health and Science University, Portland, Oregon, USA
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5
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Kpene GE, Lokpo SY, Deku JG, Agboli E, Owiafe PK. Asymptomatic Intestinal Parasitic Infestations among Children Under Five Years in Selected Communities in the Ho Municipality, Ghana. Ethiop J Health Sci 2021; 30:867-874. [PMID: 33883830 PMCID: PMC8047240 DOI: 10.4314/ejhs.v30i6.3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background The study investigated intestinal parasitic infestations (IPIs) and possible risk factors associated with asymptomatic children under five (5) years in five (5) selected communities in the Ho Municipality. Methods The study design was cross- sectional, with a simple random sampling technique involving 150 asymptomatic children under 5 years from 5 selected communities (Klave, Hoe, Freetown, Dave and Godokpe) in the Ho Municipality. A questionnaire was used to obtain socio-demographics and other relevant parameters. Direct wet preparation, formol-ether concentration and Modified ZN staining techniques were used for the identification of intestinal parasites from participants' stool samples. The Fisher's exact test and binary logistic regression analysis were used to determine the difference in IPIs proportions and assess the risk factors associated with IPIs respectively. Results The overall IPIs cases was 14% (21/150). Cryptosporidium spp was most predominant [5.3% (8/150)], followed by Entamoeba spp [3.3% (5/150)], Cyclospora cayetenensis [2.7% (4/150)], Ascaris lumbricoides [1.3% (2/150)], Giardia lamblia [0.7% (1/150)] and Strongyloides stercoralis [0.7% (1/150)]. Children in rural communities (23.4%) recorded significantly higher case rate compared to those in urban communities (9.8%0), (p=0.04). Lower educational attainment of mother [OR=0.55, 95% CI (0.37 – 0.83), p-value = 0.015] and residence in rural communities [OR = 0.53, 95% CI (0.33–0.88)], p-value = 0.025] were significantly associated with IPIs. Conclusion Asymptomatic IPIs are quite prevalent among children under 5 years in the Ho Municipality. The study thus recommends active sensitization programs for parents/guardians on preventive measures and school health programs should be instituted in rural communities.
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Affiliation(s)
- G E Kpene
- Department of Medical Laboratory Sciences, School of Allied Health Sciences, University of Health and Allied Sciences, Ho, Ghana
| | - S Y Lokpo
- Department of Medical Laboratory Sciences, School of Allied Health Sciences, University of Health and Allied Sciences, Ho, Ghana
| | - J G Deku
- Department of Medical Laboratory Sciences, School of Allied Health Sciences, University of Health and Allied Sciences, Ho, Ghana
| | - E Agboli
- Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana
| | - P K Owiafe
- Department of Medical Laboratory Sciences, School of Allied Health Sciences, University of Health and Allied Sciences, Ho, Ghana
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6
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Adly M, Woo TE, Traboulsi D, Klassen D, Hardin J. Understanding Dermatologic Concerns Among Persons Experiencing Homelessness: A Scoping Review and Discussion for Improved Delivery of Care. J Cutan Med Surg 2021; 25:616-626. [PMID: 33818163 PMCID: PMC8640276 DOI: 10.1177/12034754211004558] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
There is a paucity of information surrounding dermatologic care for persons experiencing homelessness (PEH). This scoping review aims to map existing literature and provide a summary of the most common cutaneous manifestations among PEH, risk factors for dermatologic disease, describe any reported interventions, as well as identify research gaps for future studies. Search strategies developed for MEDLINE and hand searching yielded 486 articles. Out of the 486 articles screened, 93 articles met the inclusion criteria. The majority were cohort studies, cross-sectional studies, and case-control studies concentrated in North America and Europe. Excluding the pediatric population, the prevalence of dermatologic conditions ranged from 16.6% to 53.5%. Common skin conditions described in PEH were: acne, psoriasis, seborrheic dermatitis, atopic dermatitis, and lichen simplex chronicus. There were no studies comparing the extent or severity of these cutaneous diseases in PEH and the general population. PEH have a higher prevalence of skin infections and non-melanoma skin cancers. This scoping review has direct implications on public health interventions for PEH and highlights the need for evidence-based interventions to provide optimum and safe dermatologic healthcare for PEH. We propose several recommendations for improved care delivery, including addressing upstream factors and comorbidities impacting skin health, providing trauma informed care, reducing barriers to care, preventing and managing skin conditions, as well as including PEH in the planning and implementation of any proposed intervention.
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Affiliation(s)
- Merna Adly
- 704012129 University of Calgary, Cumming School of Medicine, Calgary, AB, Canada
| | - Taylor Evart Woo
- Department of Dermatology, Cumming School of Medicine, Calgary, AB, Canada
| | - Danya Traboulsi
- Department of Dermatology, Cumming School of Medicine, Calgary, AB, Canada
| | - David Klassen
- Department of Community Health Sciences, Cumming School of Medicine, Calgary, AB, Canada
| | - Jori Hardin
- Department of Dermatology, Cumming School of Medicine, Calgary, AB, Canada
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7
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Sonthalia S, Agrawal M, Bhatia J, Zeeshan M, Elsamanoudy S, Tiwary P, Bhat YJ, Jha A, Bosseila M. Entodermoscopy Update: A Contemporary Review on Dermoscopy of Cutaneous Infections and Infestations. Indian Dermatol Online J 2021; 12:220-236. [PMID: 33959518 PMCID: PMC8088165 DOI: 10.4103/idoj.idoj_559_20] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Revised: 10/16/2020] [Accepted: 12/20/2020] [Indexed: 01/11/2023] Open
Abstract
Infectious cutaneous diseases are very common, especially in certain geographic and tropical regions. Sometimes they may simulate other dermatoses, ordering verification of diagnosis with particular investigations. Dermoscopy is among one of the most important tools readily available in the outpatient setting for the dermatologist to confirm the diagnosis. In this up-to date review, literature concerning the various dermoscopic features of parasitic, viral, dermatophytic and bacterial cutaneous infections is composed. In addition artefacts as well as practical issues in dermoscopy usage are discussed; with the aim to empower dermatologists to promptly and non-invasively diagnose and manage cutaneous infections and infestations.
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Affiliation(s)
| | - Mahima Agrawal
- Department of Dermatology and STD, Lady Hardinge Medical College and ASS Hospitals, New Delhi, India
| | | | - Md Zeeshan
- Department of Skin and V.D., Patna Medical College and Hospital, Patna, Bihar, India
| | - Solwan Elsamanoudy
- Department of Dermatology, Faculty of Medicine, Cairo University, Cairo, Egypt
| | - Pankaj Tiwary
- Department of Skin and V.D., Patna Medical College and Hospital, Patna, Bihar, India
| | - Yasmeen Jabeen Bhat
- Department of Dermatology, Venereology & Leprosy, Government Medical College, Srinagar, J&K, India
| | - Abhijeet Jha
- Department of Skin and V.D., Patna Medical College and Hospital, Patna, Bihar, India
| | - Manal Bosseila
- Department of Dermatology, Faculty of Medicine, Cairo University, Cairo, Egypt
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8
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Lindberg MR, Orzel JA, Dollani L, Norton SA. Modification of footed pajamas to confirm arthropod bites: The Modified Onesie Biting Bug Assessment suit. Pediatr Dermatol 2021; 38:547-549. [PMID: 33210364 DOI: 10.1111/pde.14241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2019] [Revised: 04/25/2020] [Accepted: 05/18/2020] [Indexed: 11/29/2022]
Abstract
When children present with features of bed bug bites, many parents are reluctant to accept the diagnosis. Furthermore, standard methods to detect arthropods in or around one's home can be expensive, time-consuming, and frustrating. We developed a simple, inexpensive way to provide evidence that the lesions are in fact due to arthropod bites. The Modified Onesie Biting Bug Assessment (MOBBA) suit utilizes simple alterations to a full-body onesie-type footed pajama, exposing some body surfaces to insect predators while protecting other areas.
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Affiliation(s)
- Michael R Lindberg
- Georgetown University School of Medicine, Washington, District of Columbia, USA
| | - Joanna A Orzel
- Georgetown University School of Medicine, Washington, District of Columbia, USA
| | - Lorena Dollani
- MedStar Washington Hospital Center/Georgetown University Hospital Department of Dermatology, Georgetown University, Washington, District of Columbia, USA
| | - Scott A Norton
- Division of Dermatology, Children's National Hospital, Washington, District of Columbia, USA
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9
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Thomas C, Rehmus W, Chang AY. Treatment practices in the management of scabies in infants younger than two months. Pediatr Dermatol 2021; 38:431-435. [PMID: 33486822 DOI: 10.1111/pde.14523] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Revised: 12/23/2020] [Accepted: 01/02/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND/OBJECTIVES Efficacy and safety data of scabies treatments in infants are limited. Although topical permethrin is used in the treatment of scabies in adults, it is not approved for use in infants younger than 2 months of age in many parts of the world. This study aimed to describe treatment practices in the management of scabies in infants younger than 2 months. METHODS An online survey was developed and distributed to physicians worldwide through the Society of Pediatric Dermatology and the Pediatric Dermatology Research Alliance. Data collected included demographics, medication availability, experience using medications, deterrents to medication use, medication administration preferences, perceived and experienced medication side effects, and preferred treatment agent in this population. RESULTS In total, 57 physicians from seven countries responded. The majority of respondents were board-certified in pediatric dermatology (48/57, 84.2%) and resided in the United States (44/57, 77.2%). Respondents had experience using permethrin (47/57, 82.5%) and precipitated sulfur (35/57, 61.4%) most frequently. Most (38/57, 66.7%) preferred permethrin as their treatment of choice. Among those who did not use permethrin, potential side effects (8/10, 80%) were most frequently reported as a deterrent from its use. However, only 4.3% (22/47) of those who used permethrin reported side effects, including itching, erythema, and xerosis. CONCLUSIONS Permethrin is frequently used in the treatment of infants younger than 2 months with scabies. Furthermore, our results demonstrate that permethrin is the preferred treatment agent among sampled dermatologists for infants younger than 2 months. Few side effects were reported, and none were serious.
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Affiliation(s)
- Cristina Thomas
- Harvard Medicine-Dermatology Combined Residency Training Program, Harvard Medical School, Boston, MA, USA
| | - Wingfield Rehmus
- Division of Dermatology, Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada
| | - Aileen Y Chang
- Department of Dermatology, University of California, San Francisco, CA, USA
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10
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Cokola MC, Mugumaarhahama Y, Noël G, Kazamwali LM, Bisimwa EB, Mugisho JZ, Aganze VM, Lubobo AK, Francis F. Fall Armyworm Spodoptera frugiperda (Lepidoptera: Noctuidae) in South Kivu, DR Congo: Understanding How Season and Environmental Conditions Influence Field Scale Infestations. Neotrop Entomol 2021; 50:145-155. [PMID: 33501633 DOI: 10.1007/s13744-020-00833-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/09/2020] [Accepted: 11/23/2020] [Indexed: 06/12/2023]
Abstract
The fall armyworm (FAW) Spodoptera frugiperda (J. E. Smith) has become a global devastating pest because of its broad dispersal capacity and the high crop damages. At present, research on FAW infestations of crops in the DR Congo remains undocumented. Here, FAW infestations in two agro-ecological zones (Kabare and Ruzizi Plain) were compared in South-Kivu Province. Surveys were carried out during the early 2018 and late 2019 crop seasons to assess the impact of FAW on maize crops. In each agro-ecological zone, 50 fields were selected for investigation. A total of hundred (100) fields were assessed in the 2018 crop season. During the 2019 crop season, the same fields were investigated. The two zones had very different bioclimatic characteristics. FAW attacks were more pronounced under conditions of relatively high temperatures with high evapotranspiration, which occurred in the Ruzizi Plain and late 2019 season. In comparison, Kabare territory and the early 2018 season were characterized by heavy rainfall. The incidence, level of leaf damage, and density of FAW larvae varied significantly with season and agro-ecological zone. The Ruzizi Plain had the highest incidence (60 ± 30%), level of leaf damage and larval density (28.5 ± 19.3). The late 2019 season had the highest incidence (70 ± 20%) as well as the larval density (27.8 ± 19.2). Total annual number of FAW generations was 5.64 and 3.36 in the Ruzizi Plain and Kabare territory, respectively. In conclusion, FAW infestation represents a major problem for agricultural production due to the climatic conditions in the study region.
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Affiliation(s)
- Marcellin Cuma Cokola
- Faculty of Agriculture and Environmental Sciences, Univ Evangélique en Afrique, Bukavu, South-Kivu, Democratic Republic of Congo.
- Functional and Evolutionary Entomology, Gembloux Agro-Bio Tech, Liege Univ, Gembloux, Belgium.
| | - Yannick Mugumaarhahama
- Faculty of Agriculture and Environmental Sciences, Univ Evangélique en Afrique, Bukavu, South-Kivu, Democratic Republic of Congo
| | - Grégoire Noël
- Functional and Evolutionary Entomology, Gembloux Agro-Bio Tech, Liege Univ, Gembloux, Belgium
| | - Léon Muzee Kazamwali
- Faculty of Agriculture and Environmental Sciences, Univ Evangélique en Afrique, Bukavu, South-Kivu, Democratic Republic of Congo
| | - Espoir Basengere Bisimwa
- Faculty of Agriculture and Environmental Sciences, Univ Evangélique en Afrique, Bukavu, South-Kivu, Democratic Republic of Congo
- Faculty of Agriculture, Univ Catholique de Bukavu, Bukavu, South-Kivu, Democratic Republic of Congo
| | - Janvier Zirhumana Mugisho
- Faculty of Agriculture and Environmental Sciences, Univ Evangélique en Afrique, Bukavu, South-Kivu, Democratic Republic of Congo
| | - Victoire Munene Aganze
- Faculty of Agriculture, Univ Catholique de Bukavu, Bukavu, South-Kivu, Democratic Republic of Congo
| | - Antoine Kanyenga Lubobo
- International Centre for Tropical Agriculture, CIAT-HarvestPlus, Bukavu, South Kivu, Democratic Republic of Congo
| | - Frédéric Francis
- Functional and Evolutionary Entomology, Gembloux Agro-Bio Tech, Liege Univ, Gembloux, Belgium
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11
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Guzman AK, Gittler JK, Amin B, Srikantha R, Balagula Y. Acute inflammatory Demodex-induced pustulosis in an immunocompetent patient related to topical steroid use. Pediatr Dermatol 2020; 37:985-986. [PMID: 32729151 DOI: 10.1111/pde.14315] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Revised: 06/21/2020] [Accepted: 07/09/2020] [Indexed: 11/27/2022]
Abstract
Demodex spp. mites are a common colonizer of sebaceous adult skin. Though usually clinically insignificant, demodicosis may be associated with a wide spectrum of skin diseases in immunocompetent hosts, such as erythematotelangiectatic and papulopustular rosacea, Demodex folliculorum, and blepharitis. We present a case of a healthy 9-year-old boy with an exuberant, inflammatory, Demodex-associated pustular eruption of the face, induced by the use of a high-potency topical steroid and successfully treated with oral ivermectin.
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Affiliation(s)
- Anthony K Guzman
- Division of Dermatology, Department of Internal Medicine, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Julia K Gittler
- Division of Dermatology, Department of Internal Medicine, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Bijal Amin
- Department of Pathology, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Rithu Srikantha
- Division of Dermatology, Department of Internal Medicine, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Yevgeniy Balagula
- Division of Dermatology, Department of Internal Medicine, Albert Einstein College of Medicine, Bronx, NY, USA
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12
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Abstract
A 3 year-old boy presented to our clinic with a 3-day history of itchy rash involving the face and limbs and recent contact with a caterpillar. A diagnosis of caterpillar dermatitis was suspected. This condition has rarely been reported and may be underestimated in the pediatric population who may suffer more systemic symptoms associated with caterpillar contact.
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Affiliation(s)
- Arvin S Jadoo
- Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - James R Treat
- Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
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13
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Abstract
Bullous scabies is an uncommon subtype of scabies that frequently mimics other blistering skin diseases. Nocturnal pruritus is a hallmark symptom of bullous scabies. We report an unusual case of bullous scabies presenting in the absence of pruritus in an immunosuppressed pediatric patient. It is critical that clinicians consider the diagnosis of bullous scabies in any patient with bullae, irrespective of pruritus symptoms.
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Affiliation(s)
- Nicole Salame
- University of California, Irvine School of Medicine, Irvine, California
| | - Vanessa Holland
- Division of Dermatology, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California
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14
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Intra J, Sarto C, Manuli E, Vannini PM, Brambilla P. Multiple Parasitic Infestation in a Nine-month-old Patient: A Case Report. Helminthologia 2019; 56:53-56. [PMID: 31662672 PMCID: PMC6662029 DOI: 10.2478/helm-2018-0039] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2018] [Accepted: 11/15/2018] [Indexed: 01/03/2023] Open
Abstract
We are reporting the case of a nine-month-old Pakistani female with complaint of growth retardation who presented multiple intestinal parasitic infections. Probably because of contamination with fecal matter, the initial microscopic examination of the urinary sample revealed the presence of eggs of Enterobius vermicularis, cysts of Entamoeba coli, and an organism similar to mites. Stool samples were obtained after two weeks and microscopic investigation confirmed the presence of Enterobius vermicularis eggs, cysts of Entamoeba coli, and hookworm eggs. The patient was immediately subjected to mebendazole therapy associated with trimethoprim-sulfamethoxazole, to which she responded well. Follow-up stool re-examinations performed 15 and 30 days after the treatment tested negative for all parasitic ova and cysts. This study reflects the importance of considering multiple parasitic infestations in low socio-economic populations and highlights the need of improving poor hygienic conditions to prevent such infections, in particular in children.
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Affiliation(s)
- J. Intra
- Department of Laboratory Medicine, University of Milano-Bicocca, Desio Hospital, via Mazzini 1, Desio (MB), Italy
| | - C. Sarto
- Department of Laboratory Medicine, University of Milano-Bicocca, Desio Hospital, via Mazzini 1, Desio (MB), Italy
| | - E. Manuli
- Department of Laboratory Medicine, University of Milano-Bicocca, Desio Hospital, via Mazzini 1, Desio (MB), Italy
| | - P. M. Vannini
- Dipartimento Cure Primarie ATS Brianza, Monza, Italy
| | - P. Brambilla
- Department of Laboratory Medicine, University of Milano-Bicocca, Desio Hospital, via Mazzini 1, Desio (MB), Italy
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Bowles VM, VanLuvanee LJ, Alsop H, Hazan L, Shepherd K, Sidgiddi S, Allenby K, Ahveninen T, Hanegraaf S. Clinical studies evaluating abametapir lotion, 0.74%, for the treatment of head louse infestation. Pediatr Dermatol 2018; 35:616-621. [PMID: 29999197 PMCID: PMC6175393 DOI: 10.1111/pde.13612] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
BACKGROUND There is a need for better control of head louse infestations. Abametapir is an inhibitor of metalloproteinases critical for louse survival and egg development. The efficacy of abametapir lotion, 0.74%, was assessed for its ability to clear head louse infestations after a single application. METHODS Two randomized, double-blind, multicenter, vehicle-controlled studies were conducted in subjects aged 6 months and older to compare the effectiveness of abametapir lotion versus vehicle control for eliminating head louse infestations without nit combing. Abametapir lotion was applied to dry hair for 10 minutes on day 0 and then rinsed with water. The primary endpoint was the proportion of index subjects (youngest household member with ≥ 3 live lice at screening) in the intent-to-treat population who were louse free at all follow-up visits through day 14. Older household members with one or more live lice at screening were designated as nonindex subjects and treated as per the index subject within their household. RESULTS In the intent-to-treat population (index subjects, N = 216), 81.5% of subjects treated with abametapir lotion were louse free through day 14 after a single treatment, versus 49.1% with vehicle (P < 0.001). For the combined index and nonindex population (N = 704), 85.9% were louse free through day 14 in the abametapir group, versus 61.3% in the vehicle group (P < 0.001). The most frequently reported adverse events were erythema (4.0%), rash (3.2%), and skin burning sensation (2.6%). CONCLUSION Abametapir lotion, 0.74%, was effective at clearing active head louse infestations through day 14 in subjects aged 6 months and older. All adverse events (including one serious but unrelated to study drug) resolved uneventfully.
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Affiliation(s)
- Vernon M Bowles
- Faculty of Veterinary and Agricultural Sciences, University of Melbourne, Melbourne, Vic., Australia.,Hatchtech Pty Ltd, Melbourne, Vic., Australia
| | | | - Hugh Alsop
- Hatchtech Pty Ltd, Melbourne, Vic., Australia
| | - Lydie Hazan
- Axis Clinical Trials, Los Angeles, California
| | - Katie Shepherd
- LSRN Research/The Shepherd Institute for Lice Solutions, West Palm Beach, Florida
| | - Srinivas Sidgiddi
- Promius Pharma, a subsidiary of Dr. Reddy's Laboratories, Princeton, New Jersey
| | - Kent Allenby
- Promius Pharma, a subsidiary of Dr. Reddy's Laboratories, Princeton, New Jersey
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16
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Hilerowicz Y, Koren A, Mashiah J, Katz O, Sprecher E, Artzi O. Fractional ablative carbon dioxide laser followed by topical sodium stibogluconate application: A treatment option for pediatric cutaneous leishmaniasis. Pediatr Dermatol 2018; 35:366-369. [PMID: 29574997 DOI: 10.1111/pde.13457] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
BACKGROUND Leishmaniasis is a protozoan zoonotic parasitic infection with cutaneous, mucocutaneous, and visceral manifestations. Israel is endemic for cutaneous leishmaniasis, which is a self-limited disease but is associated with scarring, which is often a source of psychological and social burden for patients. Scars can be especially devastating for children and teenagers. A wide range of physical and medical approaches is used to treat cutaneous leishmaniasis, among which intralesional injections of sodium stibogluconate rank among the most frequently used. Unfortunately, despite being effective, this therapeutic modality can be very painful. Fractional ablative laser creates a controlled mesh-like pattern of tissue ablation in the skin that promotes dermal remodeling and collagen production while at the same time facilitating enhanced delivery of topically applied medications. METHODS Patients were treated with fractional ablative carbon dioxide laser followed by immediate topical application of sodium stibogluconate. All children were diagnosed with cutaneous leishmaniasis prior to treatment initiation.. RESULTS Ten children were treated. One leishmania tropica-positive girl failed to respond. The other nine patients achieved clinical cure and demonstrated good to excellent final cosmesis. Self-rated patient satisfaction and tolerance were high No adverse effects were observed or reported during treatment. CONCLUSION Fractional ablative carbon dioxide laser followed by topical sodium stibogluconate application appears to be a safe and promising treatment for cutaneous leishmaniasis infection in children. Future controlled studies are required to validate these findings and compare this technique with traditional approaches.
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Affiliation(s)
- Yuval Hilerowicz
- Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - Amir Koren
- Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - Jacob Mashiah
- Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.,Pediatric Dermatology Clinic, Tel Aviv Sourasky Medical Center, Dana Children's Hospital, Tel Aviv, Israel
| | - Oren Katz
- Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - Eli Sprecher
- Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.,Pediatric Dermatology Clinic, Tel Aviv Sourasky Medical Center, Dana Children's Hospital, Tel Aviv, Israel.,Department of Human Molecular Genetics and Biochemistry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Ofir Artzi
- Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
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Abstract
The clinical manifestations of scabies infestation vary according to age, making the diagnosis challenging, particularly for primary care providers and dermatologists who do not routinely care for young children. We present seven cases of newborns and infants who developed inflammatory burrows and nodules early in the course, which is not typical of the eruption seen in older children and adults. We review the cutaneous features, differential diagnosis, and treatment recommendations for scabies in different age groups.
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Affiliation(s)
- Taryn A Hill
- Department of Pediatrics, Johns Hopkins All Children's Hospital, St. Petersburg, FL.,Department of Pediatrics, Johns Hopkins Children's Center, Baltimore, MD
| | - Bernard Cohen
- Division of Pediatric Dermatology, Johns Hopkins Children's Center, Baltimore, MD
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18
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Abstract
Light microscopy of the hair forms an important bedside clinical tool for the diagnosis of various disorders affecting the hair. Hair abnormalities can be seen in the primary diseases affecting the hair or as a secondary involvement of hair in diseases affecting the scalp. Hair abnormalities also form a part of various genodermatoses and syndromes. In this review, we have briefly highlighted the light microscopic appearance of various infectious and non-infectious conditions affecting the hair.
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Affiliation(s)
- Keshavmurthy A Adya
- Department of Dermatology, Venereology and Leprosy, Shri BM Patil Medical College, Hospital and Research Center, BLDE University, Bijapur, Karnataka, India
| | - Arun C Inamadar
- Department of Dermatology, Venereology and Leprosy, Shri BM Patil Medical College, Hospital and Research Center, BLDE University, Bijapur, Karnataka, India
| | - Aparna Palit
- Department of Dermatology, Venereology and Leprosy, Shri BM Patil Medical College, Hospital and Research Center, BLDE University, Bijapur, Karnataka, India
| | - Ragunatha Shivanna
- Department of Dermatology, Venereology and Leprosy, Shri BM Patil Medical College, Hospital and Research Center, BLDE University, Bijapur, Karnataka, India
| | - Niranjan S Deshmukh
- Department of Dermatology, Venereology and Leprosy, Shri BM Patil Medical College, Hospital and Research Center, BLDE University, Bijapur, Karnataka, India
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