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Fehldiagnose und falsche Behandlung

Patient mit therapierefraktärem Hand- und Fußekzem

Misdiagnosis of refractory hand and foot eczema in patient with crusted scabies under iatrogenic immunosuppression

  • FORTBILDUNG . KASUISTIK
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MMW - Fortschritte der Medizin Aims and scope

Ein 50-jähriger, immunkompetenter Patient stellt sich zur stationären Aufnahme aufgrund eines ambulant therapierefraktären und progredienten Hand- und Fußekzems vor. Er gibt an, vor einem Jahr nach einer Impfung gegen Hepatitis A und B ausgeprägte Hautveränderungen an den Händen entwickelt zu haben. Der Hautarzt habe ihn topisch und oral auf Skabies behandelt. Darunter sei es zu einer Verschlechterung des Hautbefunds gekommen.

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Authors and Affiliations

  1. Klinik und Poliklinik für Dermatologie und Allergologie, Universitätsklinikum Bonn, Venusberg-Campus 1, D-53127, Bonn, Deutschland

    Sietske Poortinga (Weiterbildungsassistentin),  Cornelia Paul, Julia Kunz,  Julia Altengarten,  Thorsten Hornung &  Thomas Bieber

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  1. Sietske Poortinga
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  2. Cornelia Paul
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  3. Julia Kunz
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  4. Julia Altengarten
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  5. Thorsten Hornung
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  6. Thomas Bieber
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Correspondence to Sietske Poortinga.

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Poortinga, S., Paul, C., Kunz, J. et al. Patient mit therapierefraktärem Hand- und Fußekzem. MMW - Fortschritte der Medizin 162, 51–53 (2020). https://doi.org/10.1007/s15006-020-0265-6

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  • DOI: https://doi.org/10.1007/s15006-020-0265-6

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