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Trombidiose des Menschen

Trombiculiasis in humans

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Zusammenfassung

Die Trombidiose ist eine weltweit vorkommende Epizoonose, die durch verschiedene Arten von Laufmilben hervorgerufen wird. Klinisch finden sich nach akzidentellem Kontakt mit den parasitären Milbenlarven erythematöse Papeln und urtikarielle Plaques, teilweise mit vesikulöser Umwandlung, wobei es durch den starken Juckreiz rasch zu Exkoriationen kommt. Bei Aufenthalten in bekannterweise milbenbesiedelten Gegenden ist eine Expositionsprophylaxe zu empfehlen. Stichreaktionen können lokal mit Alkoholumschlägen, Zinkschüttelmixturen sowie Polidocanol- oder glukokortikosteroidhaltigen Externa behandelt werden. Systemische Antihistaminika sind zur Juckreizkontrolle indiziert.

Abstract

Trombiculiasis is an epizoonosis that occurs worldwide and is caused by various types of chiggers. Clinical findings after accidental contact with the parasitic mite larvae include erythematous papules and urticarial plaques, to some extent with vesicular transformation, which can lead to excoriations due to the intense pruritus. Prophylaxis against exposure is recommended when visiting areas known to be colonized by mites. Reactions to bites can be treated by local application of alcohol compresses or zinc lotions and external application of agents containing polidocanol or glucocorticosteroid. Systemic antihistamines are indicated to control itching.

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Authors and Affiliations

  1. Hautklinik des Universitätsklinikums Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Deutschland

    V. Lewerenz, H. Stege, U.R. Hengge, B. Homey &  D. Bruch-Gerharz

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  1. V. Lewerenz
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  2. H. Stege
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  3. U.R. Hengge
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  4. B. Homey
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  5. D. Bruch-Gerharz
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Corresponding author

Correspondence to D. Bruch-Gerharz.

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Lewerenz, V., Stege, H., Hengge, U. et al. Trombidiose des Menschen. Hautarzt 59, 771–774 (2008). https://doi.org/10.1007/s00105-008-1632-x

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  • DOI: https://doi.org/10.1007/s00105-008-1632-x

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