成人头面部疥疮一例

A Case of Adult Head and Face Scabies

摘要: 本文报告成人头面部疥疮1例，通常成人疥疮不累及头面部，而该患者周身皮肤包括头面部红斑丘疹伴瘙痒1月余。但经皮镜检示有疥疮典型的三角状结构及疥虫隧道，故确诊为疥疮。最终通过涂抹硫磺软膏、口服抗组胺药等，并对衣物和被褥进行消毒、清洗、暴晒后，确实达到了皮损及瘙痒迅速消失的良好疗效。

Abstract: This report describes a case of scabies affecting the head and face in an adult. Scabies typically does not involve the head and face in adults, however, this patient presented with erythematous papules and pruritus all over the body, including the head and face for over a month. Skin microscopy revealed typical triangular structures and scabies burrows, confirming the diagnosis of scabies. Ultimately, application of sulfur ointment, oral antihistamines, along with disinfection, washing, and sun exposure of clothing and bedding, resulted in rapid resolution of skin lesions and pruritus.