PubMed · 5134556
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1971-12-11. Bites and blains.. https://pubmed.ncbi.nlm.nih.gov/5134556/
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Skin disorders are among the three most frequent health problems among returning travellers. Although ectoparasitic diseases are only a fraction of all skin problems, suspected lesions are often a reason to consult the GP after returning from low economy countries. Scabies presents in a variety of clinically different lesions and is a challenge to the physician, as are the residues of arthropode bites. A focused history and a careful clinical investigation is mandatory. Allergic reactions mirror the variety of individual modulation of immunological processes of ectoparasitic disorders. Further tropical and subtropical parasites such as tungiasis and myiasis are described in which simple measures result in dramatic improvement of major subjective suffering.
International tourism to tropical and sub-tropical areas, both to resource-poor and developed countries, has almost trebled within the past 20 years. We examined the records of patients referred to the Liverpool School of Tropical Medicine over 6 years. 46 (63%) of infestations originated in the UK. Ticks were most common in the UK (19 cases, 41%) whereas myiasis was most common in travellers (18 cases, 67%). These records suggest that whereas many overseas acquired infestations are potentially dangerous if infections are transmitted, ticks constitute the greatest risk, and both domestic and exotic species may act as disease vectors.
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