Crusted Hyperkeratotic Scabies: A Case Report

被引:3
作者
Marcos Meraz Soto, Juan [1 ]
Aleksander Alvarado Motte, Ramiro [1 ]
Ramirez Carrillo, Paola [1 ]
Axel Meraz Soto, Alan [2 ]
Bayon Villasenor, Valeria [2 ]
Cheirif Wolosky, Orly [2 ]
机构
[1] Xochicalco Univ, Dermatol, Tijuana, Mexico
[2] Univ Autonoma Baja California, Dermatol, Tijuana, Mexico
关键词
scabies; diagnosis of scabies; immunosuppression; topical corticosteroids; ivermectin; sarcoptes scabiei; crusted scabies; IVERMECTIN;
D O I
10.7759/cureus.34520
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Crusted scabies is a rare form of classic scabies characterized by severe symptoms, mainly observed in immunosuppressed patients. This disease has been associated with a variety of health problems, such as delayed diagnosis, infection risk, and high mortality, mainly from sepsis. We report the case of a patient with hyperkeratotic scabies in the context of immunosuppression associated with malnutrition and the use of topical corticosteroids. Ivermectin is critical for successfully treating crusted scabies. However, a higher cure rate has been reported with the combination of oral ivermectin and topical permethrin. In our study, we chose to use a plan suitable for grade two scabies, resulting in a subtotal regression of the lesions. Crusted scabies is a highly contagious parasitic cutaneous disease, and there are few reports in the national and international literature. It is necessary to suspect this presentation form in order to establish a timely diagnosis and detect and treat associated comorbidities.
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页数:4
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