Journal Gita Maju

8/16/2019 Journal Gita Maju

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JOURNAL READING

Scabies in The Developing World - ItsPrevalence, Complications, and

Management

R. J. Hay, A. C. Steer, D. Engelman and S. Walton

Pembimbing :

dr. Bowo Wahyudi, Sp.KK

Disusun oleh : Gita Listawaty


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Abstract

Scabies remains one of the commonest of skindiseases seen in developing countries.


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The purpose of this review is to provide an update on thecurrent position of scabies with regard to its complicationsand control in resource poor countries


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Epidemiology

The exact number of infected cases worldwideis not known, but is estimated to be up to 300million


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Risk factors in the population

Age developed nations

developing country

gender

thnic

!opulation density

"ealth

#eather


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Crusted scabies

leprosydevelopmental disability


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Transmission


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Clinical Manifestations

$tching, which may be verysevere at night %ocations &


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The clinical signs :

!apules or pustules are small '() mm* excavation are small raised or +at

There is a curved line lesions that often end withsmall papules or pustules

excoriation


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Crusted scabies :

These crusted infections are caused by asuperinfection with thousands of mites, and

such patients are very contagious.


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Diagnosis

on-rmation of the diagnosis by direct tests,including the demonstration of adult orimmature scabies mites


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Complications

Secondary infection caused by group AStreptococcus cause &

lomerulonephritis, especially in children.

Acute rheumatic fever

$nfant septicemia caused by Staphylococcusaureus


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Treatment

ontrolling Transmission, $ncluding nvir


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Conclusions

Scabies is a skin disease that often occurs indeveloping countries

Secondary bacterial infection is potentiallyserious for the health of individual, especially

the poor ontrol of the community should be a priority

because of signi-cantly decreasing theincidence


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Journal Gita Maju

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