Crusted (Norwegian) scabies induced by use of topical corticosteroids and treated successfully with ivermectin☆,☆☆
Section snippets
CASE REPORT
A 2-year-old boy, with an unremarkable medical history, was admitted to our hospital because of generalized pruritic skin lesions. Five months earlier, pruritic papular lesions were noted first on the axillae, wrists, and thighs, which spread to the legs, abdomen, and thorax. A misdiagnosis of generalized eczema was made, and the young patient was treated with a corticosteroid ointment. During 6 weeks he received a total of 240 mg of betamethasone dipropionate topically. The intense pruritus
DISCUSSION
Crusted scabies is a rare manifestation of Sarcoptes scabiei infestation, mainly observed in patients with immunodeficiency such as that caused by acquired immunodeficiency syndrome, leukemia, human T-lymphotrophic virus-1 infection, and systemic immunosuppressant therapies2, 3, 4, 5, 6; with neuropsychologic impairment such as senile dementia, sensory neuropathy, and Down syndrome and other causes of mental retardation; or with debilitating illness such as malnutrition. In contrast to common
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Cited by (52)
Ectoparasites: Scabies
2020, Journal of the American Academy of DermatologyCitation Excerpt :Several risk factors predispose institutionalized individuals to scabies and subsequent outbreaks. In health care and residential care facilities, index patients are more likely to be immunosuppressed through iatrogenic means or because of immunosenescence.13-137 Crusted scabies is also associated with institutional outbreaks and was reported in 83% of index cases in 1 study.138
Topical Corticosteroids
2020, Comprehensive Dermatologic Drug Therapy, Fourth EditionInfections in Children With Cancer
2018, Principles and Practice of Pediatric Infectious DiseasesAnimal models in scabies: Which are they? are they useful to optimize the therapeutic management of scabies?
2017, Bulletin de l'Academie Nationale de MedecineCrusted scabies induced by topical corticosteroids: A case report
2015, Archives de Pediatrie