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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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