Download - 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
26/09/2010 Univerity of Gambia
1°) Questions 2°) Dermatological exam: skin mucous nail hair
Skin lesiondistributionlocalization
3°) Complete examen4°) Summary
26/09/2010 Univerity of Gambia
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
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
How to confirm your diagnosis?How to confirm your diagnosis?
Anguillulose= larva currens ScabiesLarva currensGnasthostomiasisLoaLoa-loaMyasis Larva migrans
26/09/2010 Univerity of Gambia
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
synonymessynonymes
Creeping eruptionSandworm eruptionPlumber’s itchDuckhunter’s itch
26/09/2010 Univerity of Gambia
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
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
26/09/2010 Univerity of Gambia
26/09/2010 Univerity of Gambia
26/09/2010 Univerity of Gambia
26/09/2010 Univerity of Gambia
26/09/2010 Univerity of Gambia
26/09/2010 Univerity of Gambia
26/09/2010 Univerity of Gambia
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