Skin disease caused by various parasites this disease is often found in : o Crowded areas o Low socio-economic condition o Poor sanitation and hygiene in the eradication effort, these attempts are needed: - Prevention - Proper hygiene - reservoir-host-vector control 3 the causes of this disease are divided into 3 major groups.
Skin disease caused by various parasites this disease is often found in : o Crowded areas o Low socio-economic condition o Poor sanitation and hygiene in the eradication effort, these attempts are needed: - Prevention - Proper hygiene - reservoir-host-vector control 3 the causes of this disease are divided into 3 major groups.
Skin disease caused by various parasites this disease is often found in : o Crowded areas o Low socio-economic condition o Poor sanitation and hygiene in the eradication effort, these attempts are needed: - Prevention - Proper hygiene - reservoir-host-vector control 3 the causes of this disease are divided into 3 major groups.
2 Zoonosis : skin disease caused by various parasites This disease is often found in : o Crowded areas o Low socio-economic condition o Poor sanitation and hygiene
In the eradication effort, these attempts are needed: Early diagnosis and prompt treatment Public health education about : - Prevention - Proper hygiene - Reservoir-host-vector control 3 The causes of this disease are divided into 3 major groups :
5 Pathogenesis : Adult hookworm in dogs / cats small intestines
Eggs (in animal faeces)
Rhabditiform larvae (soil)
Filariform larvae (soil) penetrate The skin
Creeping eruption 6 Clinical features :
- Common locations are on the buttocks, feet, & hands.
- The diameter of the lesion is 1 4 mm, red in color, a bit raised, like a coiled thread. 7 Typical track of CLM located on plantar aspect of foot. 8 Vesiculobullous lesion of CLM. 9
Diagnosis : typical lesion manifestation
Treatment : Topical : - Classic : Chlorethyl spray, CO2, liquid N2 - Thiabendazole 10% - Albendazole 2% Systemic : - Thiabendazole 25 mg/kgBW/day 2 days - Albendazole 50 mg/kgBW/once a week 10 Method of transmission : - Direct handshake, sexual contact - Indirect through objects
Etiology : Sarcoptes scabiei var hominis
Life cycle : Female mites in stratum corneum
Eggs 34 days Larvae 1014 days Mites
11 Clinical features :
- Predilection : in-between fingers, flexor of the wrists, genitalia, axillae folds, lower abdomen, buttocks.
- Lesion papule, vesicle, excoriation/secondary infection, sometimes forming burrows. 12 Clinical variations : Incognito scabies Scabies in infants & children Noduler scabies Scabies transmitted by animals Scabies in a clean Norwegian scabies
Diagnosis : - Itch, especially at night-time (nocturnal itching) - History of infection on members of the family / people living under the same roof - Characteristic distribution of lesion - Characteristic lesion burrows - Definite diagnosis mites, eggs, faeces - Tx antiscabies improvement 15 Treatment : Gamexan 1% Crotamiton 10% Sulfur 5 10% Benzoil benzoate 20 35% Permethrin 5% To achieve treatment success : - Treat every contact person - Correct drug administration - Washing clothes and towels with hot water, air mattress under the sun - Avoid excess treatment 16 P. capitis P. humanus var capitis P. corporis P. humanus var corporis P. pubis Phtirus pubis
Pathogenesis : - Direct contact - Indirect contact 17 P. CAPITIS Clinical manifestation : often affects children Symptoms : - itch, especially on the occipital & temporal parts excoriation, erosion / secondary infection - swelling of the lymph glands
P. CORPORIS Clinical features : - hemorrhagic macules / papules with punctum in the middle - urtica 18 P. PUBIS Mites pubic hair, eyebrows, eyelashes, axillae region, sometimes body hair Clinical features : - itch excoriation / secondary infection - Characteristic maculae cerulae 19 Diagnosis : P. capitis : shiny eggs on hair, mites P. corporis : eggs / mites on clothes folds P. pubis : eggs / mites on pubic hair, eyelashes, body hair Treatment : P. capitis : - gamexan 1% shampoo - permethrin 1% cream - crotamiton 10% cream / lotion P. corporis : - gamexan 1% - Washing clothes / bed sheets using hot water / ironing them P. pubis : - petrolatum - physostigmine 0,025% eye oint 20