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- 石井 則久
- 国立感染症研究所ハンセン病研究センター 委員長
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- 浅井 俊弥
- 浅井皮膚科クリニック
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- 朝比奈 昭彦
- 東京慈恵会医科大学
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- 石河 晃
- 東邦大学医学部
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- 今村 英一
- 今村皮膚科形成外科
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- 加藤 豊範
- 北斗病院薬剤室
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- 金澤 伸雄
- 和歌山県立医科大学
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- 久保田 由美子
- 福岡山王病院
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- 黒須 一見
- 荏原病院感染対策室・看護部
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- 幸野 健
- 日本医科大学千葉北総病院
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- 小茂田 昌代
- 東京理科大学薬学部医療安全学
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- 関根 万里
- 荏原病院
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- 田中 勝
- 東京女子医科大学東医療センター
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- 谷口 裕子
- 九段坂病院
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- 常深 祐一郎
- 東京女子医科大学
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- 夏秋 優
- 兵庫医科大学
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- 廣田 孝司
- 東京理科大学薬学部生物薬剤学
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- 牧上 久仁子
- つばさ在宅クリニック
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- 松田 知子
- 松田知子皮膚科医院
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- 吉住 順子
- 吉住皮膚科クリニック
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- 四津 里英
- 国立駿河療養所・国立国際医療研究センター病院
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- 和田 康夫
- 赤穂市民病院
書誌事項
- タイトル別名
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- Guideline for the Diagnosis and Treatment of Scabies―Third Edition―
- 日本皮膚科学会ガイドライン 疥癬診療ガイドライン(第3版)
- ニホン ヒフ カガクカイ ガイドライン カイセンシンリョウ ガイドライン(ダイ3ハン)
この論文をさがす
説明
Here, we present our new guideline for the diagnosis and treatment of scabies which we, the executive committee convened by the Japanese Dermatological Association, developed to ensure proper diagnosis and treatment of scabies in Japan. Approval of phenothrin topical use under the National Health Insurance in August 2014 has contributed to this action. Permethrin, a topical anti-scabietic medication belonging to the same pyrethroid group as phenothrin, is already in use worldwide. For making proper diagnosis of scabies, following three points should be taken into consideration: clinical findings, detection of the mite(s) (Sarcoptes scabiei var. hominis), and epidemiological findings. The diagnosis is confirmed when the mites or their eggs are identified by microscopy or by dermoscopy. As we now have a choice of phenothrin, the first line therapy for classical scabies is either topical phenothrin lotion or oral ivermectin. Second line for topical treatment is sulfur-containing ointments, crotamiton cream, or benzyl benzoate lotion. Gamma-BHC ointment is no more provided for clinical use. If the patient is immunosuppressed, the treatment option is still the same, but he or she should be followed up closely. If the symptoms persist, diagnosis and treatment must be reassessed. For hyperkeratotic (crusted) scabies and nail scabies, removal of thick scabs, cutting of nails, and occlusive dressing are required along with topical and/or oral treatments. It is important to apply topical anti-scabietic lotion/cream/ointment below the neck for classical scabies or to the whole body for hyperkeratotic scabies, including the hands, fingers and genitals. For children and elderlies, it is recommended to apply treatment to the whole body even in classical scabies. The dosage for ivermectin is a single oral administration of approximately 200 μg/kg body weight. It should be taken on an empty stomach with water. Administration of a second dose should be considered at one-week with new lesions and/or with detection of mites. Safety and effectiveness of combined treatment with topical and oral medications are not yet confirmed. Further assessment is needed. Taking preventative measures is as important as treating those infected. It is essential to educate patients and healthcare workers and conduct epidemiological studies to prevent further spread of the disease through effectively utilizing available resources including manpower, finance, logistics, and time. (Jpn J Dermatol 125: 2023-, 2015)
収録刊行物
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- 日本皮膚科学会雑誌
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日本皮膚科学会雑誌 125 (11), 2023-2048, 2015
公益社団法人 日本皮膚科学会
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詳細情報 詳細情報について
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- CRID
- 1390001205739488128
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- NII論文ID
- 130005105303
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- NII書誌ID
- AN00196602
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- ISSN
- 13468146
- 0021499X
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- NDL書誌ID
- 026808742
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- CiNii Articles
- Crossref
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- 抄録ライセンスフラグ
- 使用不可