clinical cases

Clinical cases Clinical cases Dr Fatimata Ly

Associate professorDermatology-Venerology

University Cheick Anta Diop of Dakar

26/09/2010 Univerity of Gambia

How do you conduct the clinical How do you conduct the clinical examen?examen?

L K 17 years old boyConsult at dermatologic clinicCutaneous eruption with Pruritus Evolution since four days


1°) Questions 2°) Dermatological exam: skin mucous nail hair

Skin lesiondistributionlocalization

3°) Complete examen4°) Summary


What are your hypothesis What are your hypothesis diagnosis?diagnosis?

At the examen◦Creeping eruption◦Papule◦Bullae ◦Grouped ◦On the buttocks


How to rule out the others How to rule out the others diagnosis?diagnosis?

Anguillulose= larva currens ScabiesLarva currensLarva migrans


How to confirm your diagnosis?How to confirm your diagnosis?

Anguillulose= larva currens ScabiesLarva currensGnasthostomiasisLoaLoa-loaMyasis Larva migrans


What exams you need to confirm What exams you need to confirm your diagnosis ?your diagnosis ?

At the clinical examen◦Creeping eruption◦A thinline which moves each day in a ◦Serpiginous pattern


synonymessynonymes

Creeping eruptionSandworm eruptionPlumber’s itchDuckhunter’s itch


Etiology Etiology

Larva of hookworms dogs cats others mammalsAnkylostoma braziliensisHuman is a abberant hostContamination in environnement Animal feces Tropical and sub tropical area


Incubation: 2-6 daysPruriticErythematous or grey (pigmented skin)Raised vesicularLinear serpiginous3mm wide /15-20 cm lenghtSingle multipleProgression: mm to cm/dayFeet, buttocks , hands


How to treat and to prevent?How to treat and to prevent?

Treatment◦Albendazole◦Ivermectine

Prevention◦To avoid fecaaly contamines soil◦To treat animal


clinical cases

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26092010 univerity

univerity

diagnosis

buttocks

confirm

gambia