[申覆] 醫師(一) 79

[icejk (jimmy)]

{提醒} 文章內容請盡量依照下面格式填寫來討論，並不硬性要求，但為了板友方便閱讀
       請大家發文時多花點時間寫囉。 (此兩行字可自行按crtl+y刪掉)

題號: 醫學(一) 第79題

題目內容:

      有一水電工人在室外修理水管弄得手腳滿是汙泥，幾天後手臂發癢
      並開始出現一端會持續延伸的紅斑，直到兩個月後情況才改善，下
      列敘述哪一項錯誤?

      (A)該工人可能罹患爬行疹(creeping eruption)
      (B)十二指腸鉤蟲(Ancylostoma duodenale)感染造成
      (C)紅斑部位會癢是因為蟲體引起過敏反應
      (D)紅斑周圍病理變化可見到嗜伊紅性白血球浸潤

題目疑義:

      原答案給(B)，但是有資料指出十二指腸鉤蟲是可能造成creeping eruption的

本題建議處理方式:

      全部答案一律給分

參考來源:

     International Journal of Dermatology, Volume 40, Issue 1
     Treatment of larva migrans cutanea (creeping eruption): a
     comparison between albendazole and traditional therapy
     Giancarlo Albanese, MD, Caterina Venturi, MD, and Giuseppe Galbiati, MD


     Creeping eruption (CE) is a parasitosis, featuring creeping cutaneous
     lesions, endemic to hot, humid, tropical and subtropical areas (Fig. 1),
     but also increasingly evident in other areas due to frequent tourist
     and business travel to exotic places.1±7 It is mainly caused by
     Ancylostoma braziliense, a helminth that normally lives in the intestines
     of dogs, cats, and wild animals. Less frequently other species may
     result in the same clinical picture: Ancylostoma caninum, Uncinaria
     stenochepala, Bunostomun phlebotomun, or the human larvae of
     Necator americanus and Ancylostoma duodenale



--

--
※ 發信站: 批踢踢實業坊(ptt.cc)
◆ From: 140.112.24.201
※ 編輯: icejk           來自: 140.112.24.201       (08/03 11:21)
推 Nafushika:這題我也有查到 也是說兩種都有 只是機率大小
→ Nafushika:原本的寄生蟲課本就有說
推 newmoonsun:推 拜託你了(淚
推 tien7644:這題說不定是語氣問題(哭)
推 whoyer:語氣我就想到FC 有個詳解...很白爛XD
推 yalosun:推~