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- Title
When dermoscopy supports the final diagnosis. A phlegmon and abscess of the neck as a complication of pediculosis capitis.
- Authors
Płaszczyńska, Anna; Sławińska, Martyna; Nowicki, Tomasz K.; Śmigielski, Grzegorz; Nowicki, Roman J.; Sobjanek, Michał
- Abstract
Introduction: Pediculosis capitis is a common parasitic disease that occurs most frequently in childhood. The main symptom is pruritus of the scalp. Serious, life-threating complications have been rarely reported in literature. Objective: To present severe complications of neglected pediculosis capitis and utility of dermoscopy in making a final diagnosis. Case report: A 38-year-old woman presented to emergency department with the presence of painful, unilateral neck tumor and fever as well as multiple, painful ulcers within the scalp and neck. Based on clinical and computed tomography assessment phlegmon and abscess of the neck were diagnosed. After dermatological assessment, based on clinical and dermoscopic assessment, active pediculosis capitis with secondary bacterial infection was recognized - the most probable initial cause of the life-threating bacterial complications. Conclusions: Pediculosis capitis is generally associated with a very good prognosis, however when accompanied with particular comorbidities or neglect it can lead to serious complications.
- Subjects
DERMOSCOPY; PHLEGMON; COMPUTED tomography
- Publication
Dermatology Review / Przeglad Dermatologiczny, 2021, Vol 108, Issue 3, p227
- ISSN
0033-2526
- Publication type
Article
- DOI
10.5114/dr.2021.108607