Diagnosis and treatment response monitoring of scabies with reflectance confocal microscopy: A diagnostic pearl

[1] However, its specificity is lower (46%) because it does not allow visualization of eggs and feces. [...]the so-called “delta wing jet” sign can be difficult to differentiate from artefacts induced by scratching and bleeding and is hardly visible on dark skin or in hairy body areas, making diagno...

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Veröffentlicht in:Indian journal of dermatology, venereology, and leprology venereology, and leprology, 2020-01, Vol.86 (1), p.101-103
Hauptverfasser: Fustà-Novell, Xavier, Morgado-Carrasco, Daniel, Alejo, Beatriz, Riera-Monroig, José, Puig, Susana
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container_issue 1
container_start_page 101
container_title Indian journal of dermatology, venereology, and leprology
container_volume 86
creator Fustà-Novell, Xavier
Morgado-Carrasco, Daniel
Alejo, Beatriz
Riera-Monroig, José
Puig, Susana
description [1] However, its specificity is lower (46%) because it does not allow visualization of eggs and feces. [...]the so-called “delta wing jet” sign can be difficult to differentiate from artefacts induced by scratching and bleeding and is hardly visible on dark skin or in hairy body areas, making diagnosis difficult. Solution To perform reflectance confocal microscopy (RCM) forin vivo examination of a skin lesion clinically and/or dermoscopically compatible with a S. scabiei burrow [Figure 1]a, [Figure 1]b, [Figure 1]c, [Figure 1]d.{Figure 1} RCM is a noninvasive imaging technique which allows real-time visualization of cellular components in the skin, providing serial transverse cuts at different depths. [...]lack of movement of the mite in ex vivo light microscopy observation is not a reliable indicator of scabicide efficacy, as it can be due to traumatic injury to the parasite during the scraping procedure.
doi_str_mv 10.4103/ijdvl.IJDVL_482_18
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identifier ISSN: 0378-6323
ispartof Indian journal of dermatology, venereology, and leprology, 2020-01, Vol.86 (1), p.101-103
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source Bioline International; EZB-FREE-00999 freely available EZB journals
subjects Care and treatment
Diagnosis
Eggs (Food)
Medical diagnosis
Microscopy
Morbidity
Parasites
Pruritus
Scabies
Skin
Software industry
Visualization
title Diagnosis and treatment response monitoring of scabies with reflectance confocal microscopy: A diagnostic pearl
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