Contact dermatitis – a difficult diagnosis: a clinical case

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Resumo

Background. Contact dermatitis (CD) – irritant and allergic – is a group of skin diseases that are caused by skin contact with irritants or allergens, are characterized by a variety of morphological manifestations depending on the stage of the process and can mimic a wide range of dermatological nosologies. In the treatment of both variants of CD, the main factor is the elimination of the trigger agent/allergen, so it is important to differentiate CD from other skin diseases as early as possible, which will avoid prescribing unreasonable and often unsuccessful treatment.

Description of the clinical case. The article presents a clinical case of allergic contact dermatitis that developed against the background of a long course of scabies in a patient with limited scleroderma.

Conclusion. It is known that the clinical picture of scabies is determined both by the activity of the scabies mite and the allergic reaction of the body to the pathogen and its waste products, which in this case led to the development of complications in the form of allergic dermatitis. The rapid regression of rashes after the appointment of a scabicide convincingly shows how important the elimination of the irritant, in this case, the scabies mite, is for the relief of clinical symptoms of CD.

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Sobre autores

O. Pozdnyakova

Novosibirsk State Medical University

Email: annachasnyk@yandex.ru
ORCID ID: 0000-0003-1389-1001
Rússia, Novosibirsk

Anna Chasnyk

Novosibirsk National Research State University

Autor responsável pela correspondência
Email: annachasnyk@yandex.ru
ORCID ID: 0009-0002-3663-1827

Resident in Dermatovenereology, V. Zelman Institute of Medicine and Psychology, Center for Postgraduate Medical Education

Rússia, Novosibirsk

О. Nemchaninova

Novosibirsk State Medical University

Email: annachasnyk@yandex.ru
ORCID ID: 0000-0002-5961-6980
Rússia, Novosibirsk

E. Sklyanova

Novosibirsk State Medical University

Email: annachasnyk@yandex.ru
ORCID ID: 0000-0001-6028-8585
Rússia, Novosibirsk

T. Reshetnikova

Novosibirsk State Medical University

Email: annachasnyk@yandex.ru
ORCID ID: 0000-0002-6156-0875
Rússia, Novosibirsk

Bibliografia

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2. Fig.1. On the skin of the back there are multiple papules, hemorrhagic crusts, pink-lilac rounded slightly swollen spots

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3. Fig.2. Lenticular papules of red-burgundy color, pink-lilac rounded slightly swollen spots, foci of superficial cicatricial atrophy of pearly white color

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4. Fig.3. On the skin of the lower extremities there are multiple isolated and paired papules, hemorrhagic crusts, pink-lilac spots, foci of cicatricial atrophy

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5. Fig.4. Red-burgundy papules on the back of the thighs

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6. Fig.5. Papules have regressed, pink-lilac spots remain

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7. Fig.6. On the skin of the anterior surface of the thighs, the phenomena of scabious lymphoplasia persist

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