IF 3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Ayyad Zartasht Khan, Fredrik Fineide, Jens Wohlmann, Kjell Gunnar Gundersen, Morten Gundersen, Miriam Kolko, Tor Paaske Utheim
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引用次数: 0

摘要

在此,我们提出扫描电镜图像的毛囊蠕形螨的睫毛上的患者两年的历史,干燥,灼烧和流泪的眼睛。蠕形螨是正常人类皮肤菌群的一部分,栖息在毛囊和皮脂腺中。然而,在某些个体中,它们可能导致眼表疾病,包括睑炎和干眼病。症状通常包括瘙痒、畏光和异物感。蠕形螨的致病作用尚不完全清楚,但可能涉及微磨损、腺体阻塞、过敏反应和细菌生态失调。眼睫毛底部有眼圈是一种诊断标志。尽管最佳治疗方法仍有争议,但选择包括局部茶树油,伊维菌素和最近fda批准的药物洛替拉。我们的病人对两个月的以茶树油为基础的眼睑湿巾疗法反应良好。本病例强调慢性眼部不适蠕形螨感染的临床相关性,并强调诊断的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Demodex folliculorum.

Herein, we present scanning electron microscopy imagery of Demodex folliculorum on the eyelashes of a patient with a two-year history of dry, burning, and watery eyes. Demodex mites are part of the normal human skin flora, inhabiting hair follicles and sebaceous glands. However, in some individuals, they may contribute to ocular surface diseases, including blepharitis and dry eye disease. Symptoms often include itching, photophobia, and a foreign body sensation. The pathogenic role of Demodex is not fully understood but may involve microabrasions, gland obstruction, hypersensitivity reactions, and bacterial dysbiosis. The presence of collarettes at the base of eyelashes is a diagnostic hallmark. Although optimal treatment remains debated, options include topical tea tree oil, ivermectin, and a recently FDA-approved drug lotilaner. Our patient responded favorably to a two-month regimen of tea tree oil-based eyelid wipes. This case underscores the clinical relevance of Demodex infestation in chronic ocular discomfort and highlights the importance of diagnostics.

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来源期刊
Diagnostics
Diagnostics Biochemistry, Genetics and Molecular Biology-Clinical Biochemistry
CiteScore
4.70
自引率
8.30%
发文量
2699
审稿时长
19.64 days
期刊介绍: Diagnostics (ISSN 2075-4418) is an international scholarly open access journal on medical diagnostics. It publishes original research articles, reviews, communications and short notes on the research and development of medical diagnostics. There is no restriction on the length of the papers. Our aim is to encourage scientists to publish their experimental and theoretical research in as much detail as possible. Full experimental and/or methodological details must be provided for research articles.
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