Scabies Presenting as Solitary Mastocytoma‐Like Eruption in An Infant

Salces, Inés García; Alfaro, Jorge; Santamaría, Maria Carmen Sáenz De; Sánchez, Milagros

doi:10.1111/j.1525-1470.2009.00967.x

Cited by 8 publications

(6 citation statements)

References 8 publications

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“… 63 In addition, scabies infestation has masqueraded as ecchymoses, chronic urticaria, dermatitis herpetiformis, histiocytosis, systemic lupus erythematosus, and urticaria pigmentosa. 32 , 44 , 47 – 49 , 64 – 71 …”

Section: Discussionmentioning

confidence: 99%

“…The pruritic red-brown lesions become swollen, itchy, and erythematous after being stroked; this is referred to as a positive Darier’s sign and is observed after stroking lesions on the skin of a person with systemic mastocytosis or urticaria pigmentosa. 44 , 47 , 48 , 70 , 71 Abbreviations: DH, dermatitis herpetiformis; LCH, Langerhans cell histiocytosis; SLE, systemic lupus erythematosus; UP, urticaria pigmentosa. …”

Section: Figurementioning

confidence: 99%

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Scabies masquerading as bullous pemphigoid: scabies surrepticius

Cohen

2017

CCID

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Scabies, a parasitic infestation caused by the mite Sarcoptes scabiei, is diagnosed by observing either the mite, its ova, or its excrement. The mite tracts, known as burrows and a characteristic presentation of the pruritic condition, are typically found on the web spaces between the fingers. Other cutaneous lesions include excoriated papules, pustules, and vesicles. However, atypical clinical variants of scabies, such as bullous, crusted, hidden, incognito, nodular, and scalp forms of the parasitic infestation, mimic the morphologic features of other non-parasitic dermatoses. A 76-year-old man presented with pruritic blisters and urticarial plaques that demonstrated not only pathology changes, but direct immunofluorescence also showed findings of bullous pemphigoid. His condition improved, but did not resolve, with topical corticosteroid cream for the management of the primary autoimmune blistering disorder. When other family members subsequently developed scabies, the correct diagnosis for his condition, bullous scabies, was established by demonstrating mites, ova, and scybala on a mineral oil preparation from a skin scraping of a newly appearing burrow. Bullous scabies can masquerade not only clinically, but also both pathologically and immunologically as bullous pemphigoid. Scabies serrupticius is introduced as a unifying term to designate all of the non-classic presentations of S. scabiei mite infestation.

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Section: Discussionmentioning

confidence: 99%

Section: Figurementioning

confidence: 99%

Scabies masquerading as bullous pemphigoid: scabies surrepticius

Cohen

2017

CCID

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“…Literatürde, ürtikerya pigmentoza benzeri skabiyez vakaları mevcuttur. 5,[7][8][9] Hilal KAYA ERDOĞAN ve ark.…”

Section: üRtikerya Pigmentozayı Taklit Edenunclassified

“…Darier bulgusu mast hücre degranülasyonuna işaret etmektedir. 8 Phan ve ark., Darier bulgusu pozitifliği olan ve mastositozu taklit eden bir skabiyez vakasını bildirmişlerdir. 10 Bu olgunun lezyonları da ürtikerya pigmentozaya benzer olmasına rağmen, Darier bulgusu negatif idi.…”

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Scabies Incognito Mimicking Urticaria Pigmentosa

Erdoğan¹,

Bulur²,

Karapınar³

et al. 2018

Turkiye Klinikleri J Pediatr

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kabiyez; Sarcoptes scabiei var. hominis'in sebep olduğu, son derece kaşıntılı ve bulaşıcı bir akar enfestasyonudur.1 İnfantlarda vezikül, püs-tül ve krut oluşumunun fazla olması; avuç içi, ayak tabanı, parmak, yüz ve saçlı deri tutulumunun fazla olması ve lezyonların daha inflamatuar karakterde olması ile erişkinden farklı bir klinik görünüme sahiptir. 2Bu çalışmada, ürtikerya pigmentozayı taklit eden bir skabiyez inkognito olgusunun sunulması amaçlanmıştır. OLGU SUNUMUAltı aylık erkek olgu, tüm vücutta bir aydır olan lezyonları için ailesi tarafından polikliniğimize getirildi. Öyküsünden, olguya dış merkezde atopik dermatit teşhisi konulup, topikal steroidli kremler ve nemlendiriciler verilTurkiye Klinikleri

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“…23,24 In addition, scabies in infants can present with unusual morphologies that may mimic other disease entities such as atopic dermatitis, seborrhoeic dermatitis, lupus erythematosus, psoriasis, infantile acropustulosis, bullous pemphigoid, Langerhans cell histiocytosis, mastocytosis, lymphomatoid papulosis, urticaria pigmentosa, impetigo, viral exanthem, folliculitis, insect bite reaction or drug eruption. [23][24][25][26] The most commonly used treatments for scabies are topical permethrin and oral ivermectin; both have comparable efficacy and are generally well-tolerated in adults and children. 27 Several topical treatments including permethrin, benzyl benzoate, sulphur and crotamiton have been approved for the treatment of scabies in infants.…”

Section: Introductionmentioning

confidence: 99%

A narrative review of the roles of topical permethrin and oral ivermectin in the management of infantile scabies

Lobo

Wheller

2021

Aust J Dermatology

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As standard treatments are not licensed for use in the infantile population, the treatment of scabies in this age group can be challenging. We review the relevant evidence to determine the roles of topical permethrin and oral ivermectin in the management of infantile scabies. Demographic and clinical data were collected from relevant English articles published from January 2000 to December 2020. Complete resolution was observed in 100% of infants younger than two months treated with permethrin, and 87.6% of infants aged 12 months or less and/or children weighing under 15 kg treated with ivermectin. Adverse effects from permethrin use were limited to local eczematous reactions. Adverse effects from ivermectin use included mildly elevated creatine kinase levels, eczema flare-ups, diarrhoea, vomiting, irritability, pruritus and pustular skin reactions. Overall, both permethrin and ivermectin appear to have an acceptable safety profile in infants. Permethrin is highly effective as a first-line therapy for scabies in infants younger than two months. Ivermectin use is recommended when authorised topical treatment has failed, in crusted scabies, in cases where compliance with topical agents may be problematic, and in infants with severely inflamed or broken skin where prescription of topical therapies would likely cause cutaneous and systemic toxicity. Additional high-quality studies are needed to guide best practice in the management of infantile scabies.

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Scabies Presenting as Solitary Mastocytoma‐Like Eruption in An Infant

Cited by 8 publications

References 8 publications

Scabies masquerading as bullous pemphigoid: scabies surrepticius

Scabies masquerading as bullous pemphigoid: scabies surrepticius

Scabies Incognito Mimicking Urticaria Pigmentosa

A narrative review of the roles of topical permethrin and oral ivermectin in the management of infantile scabies

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