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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Case report</span><p id="par0005" class="elsevierStylePara elsevierViewall">A 77 year-old male patient sought dermatological care due to extremely pruritic body lesions that began about 15 days ago&#46; He denied comorbidities&#46; Dermatological examination showed erythematous-papular lesions in the body&#44; mainly in the upper limbs &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Oral antihistamine&#44; topical clobetasol propionate and emollient have been prescribed&#46; The patient reported having found poultry mite in his room&#44; and&#44; after being alerted&#44; searched and found the mites in a nest of birds inside the air-conditioning box&#46; After the use of prescribed medications&#44; the patient evolved with improvement of the symptoms &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#44; and in the subsequent consultation he brought some specimens of the mites found in his room&#44; identified as being of the species <span class="elsevierStyleItalic">Dermanyssus gallinae</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Discussion</span><p id="par0010" class="elsevierStylePara elsevierViewall">Gamasoidosis or avian-mite dermatites is a little known and underdiagnosed infestation that is becoming increasingly common&#44; especially in urban environment with the proliferation of pigeons in cities from nests built on roofs&#44; windows and air-conditioning boxes&#46; There are also nosocomial cases&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">1&#44;2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">It is mainly caused by mites of the species <span class="elsevierStyleItalic">D&#46; gallinae</span>&#44; but other species may be involved&#44; such as <span class="elsevierStyleItalic">Ornithonyssus sylviarum</span>&#44; <span class="elsevierStyleItalic">Ornithonyssus bursa</span> and <span class="elsevierStyleItalic">Dermanyssus avium</span>&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">1&#44;2</span></a> They are popularly known as &#8220;poultry mite&#8221;&#44; &#8220;roost mite&#8221; and &#8220;chicken mite&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">3</span></a> These arthropods&#44; which measure about 1<span class="elsevierStyleHsp" style=""></span>mm in diameter&#44; are temporary hematophagous ectoparasites of domestic and wild birds&#44; mainly infesting chickens&#44; turkeys&#44; pigeons and birds&#46; They can also feed on other species&#44; including humans&#44; being found in hosts only when they are feeding at night&#46; The rest of its biological cycle is carried out outside the host&#44; colonizing nests&#44; cracks and grooves&#44; which become its hiding place&#46; Infected birds&#44; in addition to skin lesions&#44; may present severe neurological conditions but in humans symptoms are exclusively cutaneous&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">2</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Lesions usually resemble those of scabies and pediculosis&#46; They are commonly flattened erythematous papules&#44; very pruritic&#44; and can affect any part of the body&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">2&#44;4</span></a> No dermatoscopic criteria have been described for the disease&#44; but dermatoscope may help to exclude delusional parasitosis diagnosis&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">1</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Dermatitis caused by parasitic arthropods of birds is often overlooked even neglected&#44; but must always be remembered in cases of acute prurigo&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">3</span></a> Clinical condition is self-limiting and usually regresses spontaneously&#44; but symptomatic treatment with topical corticosteroids and oral antihistamines can be done&#46; Prevention of new cases is done with strict surveillance&#44; removal of nests of the birds containing mites&#44; and with cleaning and disinfestation of affected area with acaricide&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">2&#44;5&#44;6</span></a></p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Financial support</span><p id="par0030" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Authors&#8217; contributions</span><p id="par0035" class="elsevierStylePara elsevierViewall">Aline Palitot Santana&#58; 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What is your diagnosis?
Case for diagnosis. Erythematous and pruritic papules on forearms
Aline Palitot Santana
Autor para correspondência
alinepalitot@hotmail.com

Corresponding author.
, Alberto Eduardo Cox Cardoso, Rafaela Tenório Passos, Íris Sampaio Costa Ferreira
Dermatology Clinic, Hospital Universitário Professor Alberto Antunes, Universidade Federal de Alagoas, Maceió, AL, Brazil
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Case report</span><p id="par0005" class="elsevierStylePara elsevierViewall">A 77 year-old male patient sought dermatological care due to extremely pruritic body lesions that began about 15 days ago&#46; He denied comorbidities&#46; Dermatological examination showed erythematous-papular lesions in the body&#44; mainly in the upper limbs &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Oral antihistamine&#44; topical clobetasol propionate and emollient have been prescribed&#46; The patient reported having found poultry mite in his room&#44; and&#44; after being alerted&#44; searched and found the mites in a nest of birds inside the air-conditioning box&#46; After the use of prescribed medications&#44; the patient evolved with improvement of the symptoms &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#44; and in the subsequent consultation he brought some specimens of the mites found in his room&#44; identified as being of the species <span class="elsevierStyleItalic">Dermanyssus gallinae</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Discussion</span><p id="par0010" class="elsevierStylePara elsevierViewall">Gamasoidosis or avian-mite dermatites is a little known and underdiagnosed infestation that is becoming increasingly common&#44; especially in urban environment with the proliferation of pigeons in cities from nests built on roofs&#44; windows and air-conditioning boxes&#46; There are also nosocomial cases&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">1&#44;2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">It is mainly caused by mites of the species <span class="elsevierStyleItalic">D&#46; gallinae</span>&#44; but other species may be involved&#44; such as <span class="elsevierStyleItalic">Ornithonyssus sylviarum</span>&#44; <span class="elsevierStyleItalic">Ornithonyssus bursa</span> and <span class="elsevierStyleItalic">Dermanyssus avium</span>&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">1&#44;2</span></a> They are popularly known as &#8220;poultry mite&#8221;&#44; &#8220;roost mite&#8221; and &#8220;chicken mite&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">3</span></a> These arthropods&#44; which measure about 1<span class="elsevierStyleHsp" style=""></span>mm in diameter&#44; are temporary hematophagous ectoparasites of domestic and wild birds&#44; mainly infesting chickens&#44; turkeys&#44; pigeons and birds&#46; They can also feed on other species&#44; including humans&#44; being found in hosts only when they are feeding at night&#46; The rest of its biological cycle is carried out outside the host&#44; colonizing nests&#44; cracks and grooves&#44; which become its hiding place&#46; Infected birds&#44; in addition to skin lesions&#44; may present severe neurological conditions but in humans symptoms are exclusively cutaneous&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">2</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Lesions usually resemble those of scabies and pediculosis&#46; They are commonly flattened erythematous papules&#44; very pruritic&#44; and can affect any part of the body&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">2&#44;4</span></a> No dermatoscopic criteria have been described for the disease&#44; but dermatoscope may help to exclude delusional parasitosis diagnosis&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">1</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Dermatitis caused by parasitic arthropods of birds is often overlooked even neglected&#44; but must always be remembered in cases of acute prurigo&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">3</span></a> Clinical condition is self-limiting and usually regresses spontaneously&#44; but symptomatic treatment with topical corticosteroids and oral antihistamines can be done&#46; Prevention of new cases is done with strict surveillance&#44; removal of nests of the birds containing mites&#44; and with cleaning and disinfestation of affected area with acaricide&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">2&#44;5&#44;6</span></a></p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Financial support</span><p id="par0030" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Authors&#8217; contributions</span><p id="par0035" class="elsevierStylePara elsevierViewall">Aline Palitot Santana&#58; Conception and planning of the study&#59; elaboration and writing of the manuscript&#59; critical review of the manuscript&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Alberto Eduardo Cox Cardoso&#58; Approval of the final version of the manuscript&#59; critical review of the literature&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Rafaela Ten&#243;rio Passos&#58; Elaboration and writing of the manuscript&#59; critical review of the manuscript&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">&#205;ris Sampaio Costa Ferreira&#58; Approval of the final version of the manuscript&#59; critical review of the manuscript&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Conflicts of interest</span><p id="par0055" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span></span>"
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