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Chronic conjunctivitis related to phthiriasis palpebrarum

机译:慢性睑结膜炎与眉毛病有关

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We describe a case of chronic conjunctivitis related to phthiriasis palpebrarum. A 36 year-old female presented with gradual pruritus and painless ocular hyperaemia over the previous 3 months. On examination, nasal pterygium, conjunctival hyperaemia, oedema, and mild hypertrophy of the palpebral margin were observed. A slit-lamp examination revealed numerous creamy oval structures approximately 1 mm in diameter localised in the middle area of the lashes, and bloody crusts and a semi-transparent deposit were present in the superior palpebral margin. Based on the observation of numerous nits at the base of the eyelashes and the ectoparasite in the palpebral margin, a diagnosis of phthiriasis palpebrarum was made. The patient was referred to an infectologist for evaluation of other sexually transmitted diseases and examination of other body areas. She was successfully treated with oral ivermectin, shampoo for ciliary hygiene and artificial tears. Other recommendations to avoid re-infestation were made, such as changing, washing and sterilising clothes, towels and sheets daily. This report emphasizes the importance of the correct diagnosis and management of this disease, considered as sexually transmitted.
机译:我们描述了一例与睑缘疱疹相关的慢性结膜炎。一位36岁的女性在过去3个月内出现了逐渐瘙痒和无痛性眼部充血。检查时,观察到鼻翼状,肉,结膜充血,水肿和睑缘轻度肥大。裂隙灯检查发现在睫毛中间区域有许多直径约1 mm的乳脂状椭圆形结构,在上睑缘有血性硬皮和半透明的沉积物。根据观察到的睫毛根部的许多尼特和睑缘的外寄生虫,诊断为睑缘吸虫。该患者被转介给感染科医师,以评估其他性传播疾病并检查其他身体部位。她已成功接受口服伊维菌素,洗发水的睫毛卫生和人工泪液治疗。还提出了避免再次感染的其他建议,例如每天更换,洗涤和消毒衣服,毛巾和床单。该报告强调了正确诊断和处理这种被认为是性传播疾病的重要性。

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