中国麻风皮肤病杂志 ›› 2021, Vol. 37 ›› Issue (2): 104-105.doi: 10.12144/zgmfskin202102104

• 短篇论著 • 上一篇    下一篇

疥疮在反射式共聚焦显微镜下的特征分析

李淑艳,邵洛林,郭辉,魏婷,江修婷,张友灿   

  1. 泰安市中心医院皮肤科，山东泰安，271000
  • 出版日期:2021-02-15 发布日期:2021-02-03
  • 通讯作者: 张友灿，E-mail: acpa@163.com

Characteristic profiles of scabies under reflectance confocal microscopy

LI Shuyan, SHAO Luolin, GUO Hui, WEI Ting, JIANG Xiuting, ZHANG Youcan   

  1. Department of Dermatology, Tai'an City Central Hospital, Tai'an 271000, China
  • Online:2021-02-15 Published:2021-02-03
  • Contact: ZHANG Youcan, E-mail: acpa@163.com

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摘要： 目的：明确疥疮在反射式共聚焦显微镜(RCM)检查中的图像特征。方法：对临床初步诊断为疥疮的患者进行RCM多层扫描，观察镜下特征。结果：共检测69例患者，RCM阳性病例共61例（88.4%）。在RCM可见疥螨、疥卵和粪球。61例患者中均发现粪球和隧道结构，27例发现粪球+疥螨，12例发现粪球+疥螨+疥卵，8例发现粪球+疥卵。结论：疥疮在RCM图像具有特异性，其中粪球和隧道结构易见。

关键词: 疥疮, 疥螨, 反射式共聚焦显微镜

Abstract: Objective: To determine the characteristics of scabies under reflectance confocal microscopy (RCM). Methods: The characteristic manifestation of scabies on the patients were observed under RCM. Results: Sixty-nine patients were examined and scabies or associated characteristics were identified in sixty one patients. Under RCM, the morphology, eggs and feces of scabies were found. The typical tunnel structure and feces were found in all 61 patients, feces+mite in 27, eggs+mites+feces in 12, eggs+feces in 8. Conclusion: The characteristics of scabies in RCM are specific and the most common structures are tunnel and feces.

Key words: scabies, sarcoptes scabiei hominis, reflectance confocal microscopy