There are presented clinical observations of scabies in HIV-infected men 40 and 25 years old. Scabies was atypical. Parasitic disease in both cases was very widespread and involving face and hairy part of the head. And the typical itching trails were not found. Efflorescences were manifestated by strongly expressed exudative elements-vesicles, papules, urticariform exanthems. One of the patients, who has been suffering for more then two months from the disease,was misdiagnosed common eczema. Desensitizing therapy was ineffective. In the same time antiscabial therapy caused strengthening of infiltration in the base of elements and puffiness. Nevertheless,exanthems gradually regressed after the course of external therapy. The itch disappeared. The second patient’s exanthems also regressed during a week after the local therapy. But the itch episodically appeared onetwo times a day on some days. In this way, practicing dermatologists have to make differential diagnostics of HIV-infected patients with itching dermatoses (eczema, urticaria, pruritus) and scabies.
ФГБОУ ВО «Дагестанский государственный медицинский университет» МЗ РФ, г. Махачкала, РФ 2 Андижанский государственный медицинский институт МЗ РУ, г. Андижан, Республика Узбекистан 3 ГБУ РД «РКВД», г. Махачкала, РФ Скрофулодерма-редкое проявление туберкулеза кожи. Приведено наблюдение случая вторичной скрофулодермы у мужчины 35 лет. Случай демонстрирует существенные и необратимые косметические дефекты скрофулодермы, а также важность своевременного применения методов эффективной диагностики туберкулеза (молекулярно-генетических, гистологических, мультисрезовой компьютерной томографии органов грудной клетки) и современных подходов к противотуберкулезной терапии, основанных на лекарственной чувствительности возбудителя.
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