Glittering trail: Feces of scabies indicated by high-power-field dermatoscopy using UV-A light.

Journal of the American Academy of Dermatology(2023)

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摘要
Adequate lighting sources and magnification are essential factors for observation of skin lesions. In addition to white light, the usefulness of ultraviolet light has been validated as a diagnostic tool because of its ability to detect both endogenous and exogenous fluorescence. 1 Zhang L.W. Wang W.J. Liu X. et al. Scabies evaluated by dermoscopy and fluorescence microscopy: a case report. Int J Dermatol Venereol. 2021; 4: 260-262 Crossref Scopus (1) Google Scholar ,2 Scanni G. Facilitations in the clinical diagnosis of human scabies through the use of ultraviolet light (UV-scab scanning): a case-series study. Trop Med Infect Dis. 2022; 7: 422 Crossref Scopus (1) Google Scholar Dermatoscopes equipped with the option for tuning the light source and magnification under the same field have been, thus, desired. Scabies is caused by the mite Sarcoptes scabiei, which lives in the stratum corneum of human skin. Although mite bodies can be barely detected using conventional dermatoscopy, further detailed observation is impossible because of technical limitations. The patient gave consent for his/her photographs to be published in print and online.
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