Photo Gallery. Parasitic dermatoses.



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Abstract

Parasitic dermatoses retain significance due to their high prevalence in contemporary society. The most frequently encountered diseases are scabies and pediculosis. These dermatoses are commonly observed in groups of individuals living together (nursing homes, psychiatric hospitals, hospices, dormitories, children's homes, barracks). Poor socio-hygienic conditions and non-compliance with personal hygiene rules also contribute to disease development.
Scabies is a dermatоsis-zoonosis caused by the scabies mite Sarcoptes scabiei hominis. It is characterized by intensely pruritic eruptions and the presence of scabies burrows, which is a pathognomonic sign. It develops at any age, although it is most frequently encountered in children and elderly individuals. Severe forms of the disease include scabies lymphoplasia, scabies erythrodermia, and Norwegian scabies.
Pediculosis is caused by blood-sucking insects — lice. Three species of lice parasitize human skin: head louse (Pediculus humanus capitis), body louse (Pediculus humanus corporis), and pubic louse (Pthirus pubis). Complications of pediculosis include pyodermias and allergic dermatitis; it should also be noted that lice are vectors of typhus fever.
Myasis is a parasitic disease caused by larvae of dipterous flies (Dermatobia hominis). Lesions are frequently detected on the face and scalp, presented as nodules from which serous-purulent contents may be discharged.
Onchocerciasis ("river blindness") is a chronic parasitic disease caused by the filarial nematode Onchocerca volvulus. It is characterized not only by skin involvement but also frequently by severe ocular damage.
Cutaneous leishmaniasis is a vector‑borne human disease attributable to the unicellular, flagellated protozoan Leishmania tropica. The infection is transmitted by sandflies of the genus Phlebotomus, with Phlebotomus papatasi being the principal vector. 

Trombidiasis is a disease caused by the penetration into the skin of larval mites of the genus Trombidiidae (family Trombiculidae). The infection manifests as local inflammation, papule formation, and erythema at the site of larval insertion. 

The photo gallery presents various cases of parasitic dermatoses and their causative agents. 

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Fig. 1. Patient A., 56 years old. Scabies. Multiple papulovesicular lesions (a-c). Scabies lymphoplasmacytosis (a–b). Gorchakov symptom:  bloody crusts in the elbow region and surrounding area (c).  

Fig. 2. Pediatric scabies. Papules and vesicles localized on the feet (a–b). 

Fig. 3. Scabies burrow 

Fig. 4. Post-scabetic lymphoplasmacytic infiltrate. At the sites of Sarcoptes scabiei infestation there are round, well-demarcated papules of bluish-pink color with a smooth surface and firm consistency. 

Fig. 5. Scabies complicated by secondary pyoderma. Multiple pustules, erosions, and purulent crusts in the interdigital web spaces. 

Fig. 6. Penile involvement in scabies. 

Fig. 7. Norwegian (crusted) scabies. Multiple hyperkeratotic crusts over various cutaneous areas (a-b). 

Fig. 8. Head louse (Pediculus humanus capitis)

Fig. 9. Head louse and nits are located on the hair shaft 

Fig. 10. Causative agent of myiasis.

Fig. 11. Myasis linearis migrans  

Fig. 12. Onchocerciasis. The causative agent is the filarial nematode Onchocerca volvulus. 

Fig. 13. Cutaneous leishmaniasis

Fig. 14. Thrombidiasis, complicated by secondary pyoderma 

Fig. 15. Flea bite 

 

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About the authors

Nikolay G. Kochergin

The First Sechenov Moscow State Medical University (Sechenov University), Moscow, Russia

Email: nkocha@yandex.ru
ORCID iD: 0000-0001-7136-4053
SPIN-code: 1403-3031

MD, Dr. Sci.
(Medicine), Professor

г. Москва, ул. Трубецкая, д. 8, стр. 2

Natalya P. Teplyuk

The First Sechenov Moscow State Medical University (Sechenov University), Moscow, Russia

Email: teplyukn@gmail.com
ORCID iD: 0000-0002-5800-4800
SPIN-code: 8013-3256

MD, Dr. Sci. (Medicine), Professor

г. Москва, ул. Трубецкая, д. 8, стр. 2

Goarik A. Bagdasaryan

The First Sechenov Moscow State Medical University (Sechenov University), Moscow, Russia

Author for correspondence.
Email: goga05022001@yandex.ru
ORCID iD: 0009-0004-0638-6992
SPIN-code: 7563-9893
Russian Federation

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