Clinical and Experimental Pediatrics
- Volume 45 Issue 6
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- Pages.800-803
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- 2002
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- 2713-4148(eISSN)
A Case of Phthiriasis Palpebrarum in the Eyelids of a Child
소아 안검에서 관찰된 사면발이증 1례
- Lee, Jong Hyuck (Department of Ophthalmology, Yonsei University, Wonju College of Medicine) ;
- Rah, Sang Hoon (Department of Ophthalmology, Yonsei University, Wonju College of Medicine) ;
- Kim, Yoon Hee (Department of Ophthalmology, Yonsei University, Wonju College of Medicine) ;
- Song, Won Seok (Department of Ophthalmology, Yonsei University, Wonju College of Medicine)
- 이종혁 (연세대학교 원주의과대학 안과학교실) ;
- 라상훈 (연세대학교 원주의과대학 안과학교실) ;
- 김윤희 (연세대학교 원주의과대학 안과학교실) ;
- 송원석 (연세대학교 원주의과대학 안과학교실)
- Received : 2001.12.05
- Accepted : 2002.02.07
- Published : 2002.06.15
Abstract
A two year old male child complained of foreign body sensations bilaterally, and an itching sensation at both upper and lower eyelids for 2 months of duration. He was diagnosed with Phthiriasis palpebrarum after observation of adult louse and nits on slit-lamp examination. The treatment was accomplished by mechanical removal of the lices and nits by forceps and scissors, and then irrigation with 20% fluorescein was done under general anesthesia. Antibiotic eyedrops and ointment were applied to both eyes. The morphologic evaluation was performed with light microscopy and scanning electron microscopy. The follow-up interval was every weeks for one month and no louse or nit was found under slit-lamp examination. So we concluded that the Phthiriasis palpebrarum was eradiated completely. We report a case of Phthriasis palpebrarum had been review of the literatures.
1개월 동안의 양안 이물감 및 소양감을 주소로 내원한 2세 된 남아의 양안 상, 하안검 첩모에서 세극등 검사상 사면발이의 성충과 충란을 관찰 후 확진 하였다. 치료로 충란과 성충의 직접제거 및 첩모제거술, 20% fluorescein dye 도포와 세척을 시행하였고 광학현미경과 주사전자현미경으로 충란과 성충을 관찰하였다. 1주 간격으로 1달간 추적관찰 하였고 세극등검사상 양안의 안검과 첩모에서 성충 또는 충란이 발견되지 않아 완치 판정을 내렸다. 본 증례를 문헌 고찰과 함께 보고하는 바이다.