Download - Clinical Cases
![Page 1: Clinical Cases](https://reader031.vdocument.in/reader031/viewer/2022013107/540b3d07dab5cabe608b48ed/html5/thumbnails/1.jpg)
Clinical cases Clinical cases Dr Fatimata Ly
Associate professorDermatology-Venerology
University Cheick Anta Diop of Dakar
26/09/2010 Univerity of Gambia
![Page 2: Clinical Cases](https://reader031.vdocument.in/reader031/viewer/2022013107/540b3d07dab5cabe608b48ed/html5/thumbnails/2.jpg)
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
26/09/2010 Univerity of Gambia
![Page 3: Clinical Cases](https://reader031.vdocument.in/reader031/viewer/2022013107/540b3d07dab5cabe608b48ed/html5/thumbnails/3.jpg)
1°) Questions 2°) Dermatological exam: skin mucous nail hair
Skin lesiondistributionlocalization
3°) Complete examen4°) Summary
26/09/2010 Univerity of Gambia
![Page 4: Clinical Cases](https://reader031.vdocument.in/reader031/viewer/2022013107/540b3d07dab5cabe608b48ed/html5/thumbnails/4.jpg)
What are your hypothesis What are your hypothesis diagnosis?diagnosis?
At the examen◦Creeping eruption◦Papule◦Bullae ◦Grouped ◦On the buttocks
26/09/2010 Univerity of Gambia
![Page 5: Clinical Cases](https://reader031.vdocument.in/reader031/viewer/2022013107/540b3d07dab5cabe608b48ed/html5/thumbnails/5.jpg)
How to rule out the others How to rule out the others diagnosis?diagnosis?
Anguillulose= larva currens ScabiesLarva currensLarva migrans
26/09/2010 Univerity of Gambia
![Page 6: Clinical Cases](https://reader031.vdocument.in/reader031/viewer/2022013107/540b3d07dab5cabe608b48ed/html5/thumbnails/6.jpg)
How to confirm your diagnosis?How to confirm your diagnosis?
Anguillulose= larva currens ScabiesLarva currensGnasthostomiasisLoaLoa-loaMyasis Larva migrans
26/09/2010 Univerity of Gambia
![Page 7: Clinical Cases](https://reader031.vdocument.in/reader031/viewer/2022013107/540b3d07dab5cabe608b48ed/html5/thumbnails/7.jpg)
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
26/09/2010 Univerity of Gambia
![Page 8: Clinical Cases](https://reader031.vdocument.in/reader031/viewer/2022013107/540b3d07dab5cabe608b48ed/html5/thumbnails/8.jpg)
synonymessynonymes
Creeping eruptionSandworm eruptionPlumber’s itchDuckhunter’s itch
26/09/2010 Univerity of Gambia
![Page 9: Clinical Cases](https://reader031.vdocument.in/reader031/viewer/2022013107/540b3d07dab5cabe608b48ed/html5/thumbnails/9.jpg)
Etiology Etiology
Larva of hookworms dogs cats others mammalsAnkylostoma braziliensisHuman is a abberant hostContamination in environnement Animal feces Tropical and sub tropical area
26/09/2010 Univerity of Gambia
![Page 10: Clinical Cases](https://reader031.vdocument.in/reader031/viewer/2022013107/540b3d07dab5cabe608b48ed/html5/thumbnails/10.jpg)
Incubation: 2-6 daysPruriticErythematous or grey (pigmented skin)Raised vesicularLinear serpiginous3mm wide /15-20 cm lenghtSingle multipleProgression: mm to cm/dayFeet, buttocks , hands
26/09/2010 Univerity of Gambia
![Page 11: Clinical Cases](https://reader031.vdocument.in/reader031/viewer/2022013107/540b3d07dab5cabe608b48ed/html5/thumbnails/11.jpg)
26/09/2010 Univerity of Gambia
![Page 12: Clinical Cases](https://reader031.vdocument.in/reader031/viewer/2022013107/540b3d07dab5cabe608b48ed/html5/thumbnails/12.jpg)
26/09/2010 Univerity of Gambia
![Page 13: Clinical Cases](https://reader031.vdocument.in/reader031/viewer/2022013107/540b3d07dab5cabe608b48ed/html5/thumbnails/13.jpg)
26/09/2010 Univerity of Gambia
![Page 14: Clinical Cases](https://reader031.vdocument.in/reader031/viewer/2022013107/540b3d07dab5cabe608b48ed/html5/thumbnails/14.jpg)
26/09/2010 Univerity of Gambia
![Page 15: Clinical Cases](https://reader031.vdocument.in/reader031/viewer/2022013107/540b3d07dab5cabe608b48ed/html5/thumbnails/15.jpg)
26/09/2010 Univerity of Gambia
![Page 16: Clinical Cases](https://reader031.vdocument.in/reader031/viewer/2022013107/540b3d07dab5cabe608b48ed/html5/thumbnails/16.jpg)
26/09/2010 Univerity of Gambia
![Page 17: Clinical Cases](https://reader031.vdocument.in/reader031/viewer/2022013107/540b3d07dab5cabe608b48ed/html5/thumbnails/17.jpg)
26/09/2010 Univerity of Gambia
![Page 18: Clinical Cases](https://reader031.vdocument.in/reader031/viewer/2022013107/540b3d07dab5cabe608b48ed/html5/thumbnails/18.jpg)
How to treat and to prevent?How to treat and to prevent?
Treatment◦Albendazole◦Ivermectine
Prevention◦To avoid fecaaly contamines soil◦To treat animal
26/09/2010 Univerity of Gambia