An Elderly Long-Term Care Resident with Crusted Scabies

Sandre, Matthew K; Ralevski, Filip; Rau, Neil

doi:10.1155/2015/540156

Cited by 7 publications

(3 citation statements)

References 14 publications

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“…Many of these differential diagnoses are treated with steroid, which will further be delayed the correct diagnosis. 14,15 In this case, family history played a role that could elucidate the presence of scabies infection. Unfortunately, the patient was treated with high-potent topical corticosteroids over a long period of time which induced the immunosuppression state ascribed to the development of Norwegian scabies.…”

Section: Discussionmentioning

confidence: 90%

Erythrodermic Manifestation due to Hyperinfestation of Scabies

Widaty

Martinus

Rachmawati

2021

BIKK

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Background: Scabies is a highly contagious skin disease with various skin clinical presentations. In consideration of its clinical presentations, proper early-onset diagnosis of scabies may not be met, leading to mistreatment and more severe scabies, Norwegian (crusted) scabies. Purpose: To report a case of Norwegian scabies misdiagnosed as eczema in a previously immunocompetent patient. Case: A 32-year-old man was admitted with generalized erythematous skin rash, pruritic, and hyperkeratotic scales of the body. He was previously diagnosed with eczema two months ago and was prescribed both topical and systemic steroid. Skin scales worsened and kept expanding after the treatment. There was a family history of nocturnal itch. Dermoscopic and microscopic examination from skin lesion and scraping with potassium hydroxide revealed the signs of scabies infection. Discussion: Norwegian scabies could be prevented by the correct diagnosis at the early-onset of the disease. Misdiagnosis due to various skin clinical presentations, leading to mistreatment of the infection. In this case, family history plays a role that could elucidate the presence of scabies infection. Conclusion: A correct diagnosis and treatment for the early-phase scabies-infected patient will be beneficial for the patient to prevent hyperinfestation of scabies mites. Specific examination for scabies decreases the possibility of misdiagnosis.

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Section: Discussionmentioning

confidence: 90%

Erythrodermic Manifestation due to Hyperinfestation of Scabies

Widaty

Martinus

Rachmawati

2021

BIKK

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“…A majority of them were initially diagnosed with eczema. The other most common differential diagnoses include psoriasis, and adverse drug reaction (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26). The onset of pruritus and/or skin lesions in the patient's relatives or failure to respond to the first treatment led to the diagnosis in most cases.…”

Section: Discussionmentioning

confidence: 99%

“…Charbel SKAYEM 1# , Majda ASKOUR 1,2# , Charlotte GARY 1,3# , François HEMERY 4 , Emmanuel MAHÉ 5 , Frédéric CAUX 6 , Nicolas DUPIN 7 , Patricia SENET 8 , Alix GREDER BELAN 9 , Brigitte HILLION 10 , Cécile MENI 11 , Philippe SAIAG 12 , Guillaume BELLAUD 13 , Alexandre BLEIBTREU 14 , Sylvie LARIVEN 14 , Diane BOLLENS 15 , Vincent DESCAMPS 16 , Jean-Michel MOLINA 17 , Olivier BOUCHAUD 18 , Daniel VITTECOQ 19 , Giao DO-PHAM 20 , Françoise FOULET 3,21 , Françoise BOTTEREL 3,21 , Olivier CHOSIDOW 1,3 § and Charlotte BERNIGAUD 1,3 § Dermatology Departments: 1 Assistance Publique des Hôpitaux de Paris (AP-HP), Hôpital Henri-Mondor, Créteil, France , 2 Centre Hospitalier Universitaire IBN SINA, Rabat, Morocco, 5 Centre Hospitalier Victor Dupouy, Argenteuil, 6 APHP, Hôpital Avicenne, Bobigny, 7 APHP, Hôpital Cochin, Pavillon Tarnier, Paris, 8 APHP, Hôpital Tenon, Sorbonne Université, Paris, 10 Centre Hospitalier Marne la Vallée, Jossigny, 11 APHP, Hôpital Necker-Enfants malades, Paris, 12 APHP, Hôpital Ambroise Paré, Boulogne-Billancourt and 16 13 APHP, Hôpital Tenon, Hôpitaux Universitaires Paris-Est, 14 APHP, Hôpital Bichat Claude Bernard, 15 APHP, Hôpital Saint-Antoine, 17 APHP, Hôpital Saint-Louis, Paris, 18 APHP, Hôpital Avicenne, Bobigny and…”

Section: Severe Scabies: a French Multi-centre Study Involving 95 Pat...unclassified

Severe Scabies: A French Multi-centre Study Involving 95 Patients with Crusted and Profuse Disease and Review of the Literature

et al. 2023

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The aim of this multi-centre French retrospective study was to identify severe, i.e. crusted and profuse, scabies patients. Records were retrieved from 22 Dermatology or Infectious Diseases departments in the Ile-de-France from January 2009 to January 2015 to characterize epidemiology, demography, diagnosis, contributing factors, treatment features, and outcomes in severe scabies. A total of 95 inpatients (57 crusted and 38 profuse) were included. A higher number of cases was observed among elderly patients (>75 years), mostly living in institutions. Thirteen patients (13.6%) reported a history of previously treated scabies. Sixty-three patients (66.3%) had been seen by a previous practitioner for the current episode (up to 8 previous visits). Initial misdiagnosis (e.g. eczema, prurigo, drug-related eruptions, psoriasis) was documented in 41 patients (43.1%). Fifty-eight patients (61%) had already received 1 or more previous treatments for their current episode. Forty percent received corticosteroids or acitretin for an initial diagnosis of eczema or psoriasis. Median time from the onset of symptoms to the diagnosis of severe scabies was 3 months (range 0.3–22). Itch was present in all patients at diagnosis. Most patients (n=84, 88.4%) had comorbidities. Diagnostic and therapeutic approaches varied. Complications occurred in 11.5% of cases. To date, there is no consensus for diagnosis and treatment, and future standardization of is required for optimal management.

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