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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.12
- 수록면
- 669 - 674 (6page)
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초록· 키워드
오류제보하기
The diagnostic accuracy of dermoscopy (DS) for scabies, a highly contagious parasitic disease, remains disputed. This study aimed to assess the diagnostic accuracy of DS in scabies, analyze the factors influencing DS, and explore its role in post-treatment evaluation. Patients with suspected scabies were randomly divided into 2 groups: 71 patients in the skin scraping (SS) group and 73 patients in the DS group. The diagnostic efficiencies of SS and DS in these groups were calculated. We also analyzed the influence of body part and investigator competence on the accuracy of DS. Then 16 body parts with typical signs of scabies were monitored by DS 2 and 4 day after sulfur ointment treatment. The sensitivity and specificity of DS were 98.3% and 88.5%, respectively. Hands, arms, and the abdomen had higher positivity rates than other body parts (P<0.001). The accuracy of dermatologists’ interpretations of images negative for scabies in the intermediate- and high-level groups was higher than that in the low-level group (P<0.001). At follow-up, the mites were still visible on 43.8% to 62.5% of the skin lesions 2 and 4 day after sulfur ointment treatment. These results showed that DS could significantly increase the accuracy of diagnosing scabies owing to its high sensitivity and specificity. Therefore, it may be useful for monitoring clinical responses to anti-parasitic treatment.
목차
Abstract
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (16)
참고문헌 신청
World Health Organization / Neglected tropical diseases: Scabies and other ectoparasites
Mueller SM / 2019 / Implementation and evaluation of an algorithm for the management of scabies outbreaks / BMC Infect Dis 19:200
Petit A / 2018 / Scabies outbreaks in care homes for the elderly / Lancet Infect Dis 18:1310
Vijayan V / 2019 / Outbreak of scabies in a neonatal intensive care unit / Infect Control Hosp Epidemiol 40:613~614
Executive Committee of Guideline for the Diagnosis and Treatment of Scabies / 2017 / Guideline for the diagnosis and treatment of scabies in Japan (third edition): Executive Committee of Guideline for the Diagnosis and Treatment of Scabies / J Dermatol 44:991~1014
Mueller SM / 2019 / Implementation and evaluation of an algorithm for the management of scabies outbreaks / BMC Infect Dis 19:200
Petit A / 2018 / Scabies outbreaks in care homes for the elderly / Lancet Infect Dis 18:1310
Vijayan V / 2019 / Outbreak of scabies in a neonatal intensive care unit / Infect Control Hosp Epidemiol 40:613~614
Executive Committee of Guideline for the Diagnosis and Treatment of Scabies / 2017 / Guideline for the diagnosis and treatment of scabies in Japan (third edition): Executive Committee of Guideline for the Diagnosis and Treatment of Scabies / J Dermatol 44:991~1014
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UCI(KEPA) : I410-ECN-0101-2021-513-001469561