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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Case Report</span><p id="par0005" class="elsevierStylePara elsevierViewall">A 42-year-old man presented with increasingly severe pruritus mainly affecting the pubic region&#46; He attributed its onset to sporadic sexual intercourse with a man&#46; Physical examination showed expected findings&#44; and in addition&#44; the patient brought in a small pot containing about a dozen of the culprit arthropods&#44; which were still moving&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">What Is Your Diagnosis&#63;</span><p id="par0010" class="elsevierStylePara elsevierViewall">One of the insects was placed on a gauze and viewed under a digital dermoscope at a magnification of &#215;50 &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Comment</span><p id="par0015" class="elsevierStylePara elsevierViewall">Dermoscopy showed a sucking louse &#40;Anoplura&#41; with features consistent with <span class="elsevierStyleItalic">Pthirus pubis</span> &#40;crab louse&#41;&#46; The crab louse is round&#44; can measure up to 2&#8239;mm in length and has a clearly distinct anatomy to that of the head or body louse &#40;<span class="elsevierStyleItalic">Pediculus humanus capitis</span> or <span class="elsevierStyleItalic">corporis</span>&#41;&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Pubic lice have been reported to be more common among gay&#44; bisexual&#44; and other people with a penis&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Their presence has been identified as a predictor of chlamydia in adolescents&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">The anatomy of <span class="elsevierStyleItalic">Pthirus pubis</span> can be characterized using different methods&#46; Although these parasites have traditionally been examined by optical or electron microscopy&#44;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> dermoscopy &#40;which is of clear diagnostic value<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>&#41; can also be used&#44; both in vivo and ex vivo&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Digital dermoscopes are ideal for studying the anatomy of public lice as they reduce the physical proximity needed for examination&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">We present high-resolution dermoscopic images of <span class="elsevierStyleItalic">Pthirus pubis</span> that clearly show many of the anatomic structures of a female specimen of this ectoparasite&#44; which has an admirable ability to adapt to hostile environments&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Conflicts of Interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
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Practical Dermoscopy
Pthirus pubis Under a Digital Dermoscope: Anatomic Description
Descripción anatómica del Pthirus pubis mediante dermatoscopia digital
A. Martin-Gorgojo
Corresponding author
alejandromartingorgojo@aedv.es

Corresponding author.
, A. Comunión-Artieda, F.-J. Bru-Gorraiz
Ayuntamiento de Madrid, Sección de Especialidades Médicas, Servicio de ITS/Dermatología, Madrid, Spain
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Pthirus pubis</span>&#46; Anatomic structure&#46; Left&#44; dorsal view&#46; M&#58; mouth&#46; Formed by teeth &#40;which cut into the epidermis like a circular saw&#41; and a haustellum to suck the blood from the dermal vessels&#46; The haustellum&#44; in turn&#44; contains 2 dorsal stylets &#40;firmly positioned to form a conduit that empties into the pharynx&#41;&#44; a medial stylet &#40;containing a salivary canal&#41;&#44; and a ventral stylet &#40;that groups together the other stylets to form a fascicle&#41;&#46; It also has distal teeth&#44; which help penetrate the dermis&#46; E&#58; eye&#46; 1&#58; first leg &#40;less robust than the other legs&#59; fine terminal claw&#41;&#46; D&#58; digestive tube &#40;seen against the light&#41;&#46; Note the ingested blood&#46; 2 and 3&#58; second and third legs &#40;more robust than the first leg&#59; terminal claw similar to that seen in crabs&#44; designed to grasp tightly to the hair of the host&#41;&#46; Parts of the leg &#40;c&#58; coxa&#44; tr&#58; trochanter&#44; f&#58; femur&#44; tb&#58; tibia&#44; tp&#58; tibial projection&#59; n&#58; nail&#41;&#46; D&#58; dorsum showing some hair structures on the surface&#46; <span class="elsevierStyleBold">&#42;</span>&#58; spiracle&#46; <span class="elsevierStyleItalic">Phthirus pubis</span> usually has 2 pairs of thoracic spiracles and 6 pairs of abdominal spiracles that connect the respiratory system to the outside&#46; T&#58; tracheal system&#46; S&#58; marginal septae&#46; G&#58; genital plate&#46; gp&#58; gonopod&#46; Both the genital plate and the 2 gonopods are found in female specimens&#46;</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Right image&#58; ventral view&#46; A&#58; antenna &#40;divided into 5 segments&#41;&#46; Used to detect smell and moisture&#46; St&#58; sternite &#40;segments constituting the ventral side&#41;&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Case Report</span><p id="par0005" class="elsevierStylePara elsevierViewall">A 42-year-old man presented with increasingly severe pruritus mainly affecting the pubic region&#46; He attributed its onset to sporadic sexual intercourse with a man&#46; Physical examination showed expected findings&#44; and in addition&#44; the patient brought in a small pot containing about a dozen of the culprit arthropods&#44; which were still moving&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">What Is Your Diagnosis&#63;</span><p id="par0010" class="elsevierStylePara elsevierViewall">One of the insects was placed on a gauze and viewed under a digital dermoscope at a magnification of &#215;50 &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Comment</span><p id="par0015" class="elsevierStylePara elsevierViewall">Dermoscopy showed a sucking louse &#40;Anoplura&#41; with features consistent with <span class="elsevierStyleItalic">Pthirus pubis</span> &#40;crab louse&#41;&#46; The crab louse is round&#44; can measure up to 2&#8239;mm in length and has a clearly distinct anatomy to that of the head or body louse &#40;<span class="elsevierStyleItalic">Pediculus humanus capitis</span> or <span class="elsevierStyleItalic">corporis</span>&#41;&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Pubic lice have been reported to be more common among gay&#44; bisexual&#44; and other people with a penis&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Their presence has been identified as a predictor of chlamydia in adolescents&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">The anatomy of <span class="elsevierStyleItalic">Pthirus pubis</span> can be characterized using different methods&#46; Although these parasites have traditionally been examined by optical or electron microscopy&#44;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> dermoscopy &#40;which is of clear diagnostic value<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>&#41; can also be used&#44; both in vivo and ex vivo&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Digital dermoscopes are ideal for studying the anatomy of public lice as they reduce the physical proximity needed for examination&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">We present high-resolution dermoscopic images of <span class="elsevierStyleItalic">Pthirus pubis</span> that clearly show many of the anatomic structures of a female specimen of this ectoparasite&#44; which has an admirable ability to adapt to hostile environments&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Conflicts of Interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
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Article information
ISSN: 15782190
Original language: English
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Idiomas
Actas Dermo-Sifiliográficas
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