Helminths/Arthropods


Fig. 16.1 Pediculosis, sites affected. 


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Fig. 16.2 Head louse (Pediculus humanus capitis) and an empty egg casing (the operculum is at the top) attached to a hair shaft. 

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Fig. 16.3 Body lice eggs in the seams of clothing. Courtesy, Yale Dermatology Residents’ Slide Collection. From Bolognia JL, Jorizzo JL, Schaffer JV. Dermatology, 3e. London: Saunders, 2012, with permission.

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Fig. 16.4 Crab lice and eggs on pubic hair. Courtesy, Louis A Fragola, MD. From Bolognia JL, Jorizzo JL, Schaffer JV. Dermatology, 3e. London: Saunders, 2012, with permission.



Scabies


Infestation with Sarcoptes scabiei var. hominis


Various skin manifestations (Figs 16.516.8)


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Fig. 16.5 Range of cutaneous lesions in scabies. Crusted scabies may show prominent hyperkeratosis of acral sites. From Bolognia JL, Schaffer JV, Duncan KO, Ko CJ. Dermatology Essentials, 1e. Philadelphia: Saunders, 2014, with permission.

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Fig. 16.6 Scabies infestation. A Eczematous patches and inflammatory papules. B Scabietic nodules. A, Courtesy, Yale Dermatology Residents’ Slide Collection. B, Courtesy, Robert Hartman, MD. A, From Bolognia JL, Jorizzo JL, Schaffer JV. Dermatology, 3e. London: Saunders, 2012, with permission. B, From Bolognia JL, Schaffer JV, Duncan KO, Ko CJ. Dermatology Essentials, 1e. Philadelphia: Saunders, 2014, with permission.

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Fig. 16.7 Scabies. A Scabies linear burrow. B Microscopic mite (blue arrow), scybala (green arrow), and egg casings (orange arrow). A, Courtesy, NYU Slide Collection. A, From Bolognia JL, Jorizzo JL, Schaffer JV. Dermatology, 3e. London: Saunders, 2012, with permission.

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Fig. 16.8 Crusted scabies. The hyperkeratotic lesions, most typically on the hands, house numerous mites (arrows) and scybala (*). Courtesy, Yale Dermatology Residents’ Slide Collection.


Demodex Folliculitis


Due to Demodex spp.


Erythematous papules and/or pustules on the face (Figs 16.9, 16.10)


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Fig. 16.9 Distribution of selected infestations. A Typical sites affected in Demodex folliculitis, strongyloidiasis, tungiasis, and cutaneous larva migrans. B Histopathologic location of selected arthropods/helminths. Microfilariae of filariasis are located in the dermis, but adult worms are in subcutaneous tissue or lymphatics. 

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Mar 5, 2017 | Posted by in Dermatology | Comments Off on Helminths/Arthropods

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