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Зудневая чесотка (саркоптоз) Печать
Автор: Анна   
Ателье

Часто неверно интерпретируется как "аллергия", и безуспешно проведенное лечение вынуждает исключить подозреваемый диагноз.

Причины

Sarcoptes canis (чесоточный клещ) постоянно обитает на хозяине и только несколько дней может прожить вне организма животного (собаки, кошки, грызуна). Человек довольно часто становится побочным хозяином (важный диагностический признак). Паразит живет в роговом слое, откладывает яйца в пробуравленные ходы, и личинка, пройдя несколько стадий, развивается во взрослого клеща. Зудневая чесотка очень заразна и передается при прямом контакте. При большом скоплении животных не у всех проявляются симптомы. Инкубационный период составляет 2-8 нед., что затрудняет обнаружение источника инфекции.

Симптомы

Интенсивный зуд и, как вторичные явления, экскориации (ссадины, царапины), корки на конечностях и голове, затем по всему телу. В качестве первичных поражений кожи обнаруживаются эритемы и папулы. В хронических случаях наблюдается себорея, образование корок, экскориации и проплешины (будто выеденные молью). Интенсивный зуд вызывается чувствительностью к слюне и к продуктам жизнедеятельности паразитов. Достаточно всего нескольких клещей, чтобы вызвать выраженные симптомы. Для правильной постановки диагноза и лечения необходимо обратиться к ветеринару.

Верификация (проверка) дивгноза

Или методом пробной терапии, или путем обнаружения клещей. При подозрении на чесотку из-за малой вероятности обнаружения клещей приходится делать большое количество соскобов. Отрицательный результат не исключает наличия паразитов. Выраженный зуд и папулы на руках и животе у хозяина животного можно рассматривать как диагностический признак. В некоторых случаях в соскобе кожи или в испражнениях можно обнаружить яйца клещей. Возможно серологическое обнаружение антител против клеща Sarcoptes.

Дифференциальный диагноз

Хейлетиеллы, аллергические кожные заболевания.

Прогноз

Хороший. Требуется одновременная обработка всех животных, живущих в одном доме. Выздоровление людей происходит спонтанно.

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