Neglected and inappropriate treatment of crusted scabies: A case series
Keywords:
Crusted scabies, Scabies, NeglectedAbstract
Crusted scabies is a complicated, rare, and highly contagious form of scabies. Frequently seen in malnourished, immunocompromised patients. We reported two cases of crusted scabies. In Case 1, we reported a 9-year-old girl developing crusted scabies after inappropriate treatment as atopic dermatitis and was given oral corticosteroid for a year. In Case 2, we reported a 37-year-old man who came with a loss of consciousness and dyspnea, 3 months prior patient was diagnosed and treated with scabies. However, patient did not compliant with the treatment course, and came with crusted scabies. We want to emphasize the substantiality of proper early diagnosis and effective treatment, also patients compliance with the disease.References
Engelman D, Yoshizumi J, Hay RJ, et al. The 2020 International Alliance for the Control of Scabies Consensus Criteria for the Diagnosis of Scabies. Br J Dermatol. 2020;183(5):808-20.
Niode NJ, Adji A, Gazpers S, et al. Crusted scabies, a neglected tropical disease: Case series and literature review. Infect Dis Rep. 2022;14(3):479-91.
Chandler DJ, Fuller LC. A review of scabies: An infestation more than skin deep. Dermatology. 2018;235(2):79-90.
Aukerman W, Curfman K, Urias D, et al. Norwegian scabies management after prolonged disease course: A case report. Int J Surg Case Rep. 2019;61:180-3.
Estrada-Chávez G, Estrada R, Engelman D, et al. Cushing syndrome due to inappropriate corticosteroid topical treatment of undiagnosed scabies. Trop Med Infect Dis. 2018;3(3):82.
Leung AKC, Lam JM, Leong KF. Scabies: A Neglected Global Disease. Curr Pediatr Rev. 2020;16(1):33-42.
Zhu C, Wohltmann W, Krikoriantz S, et al. Exaggerated hyperkeratosis in a nursing home patient. J Fam Med Primary Care. 2022;11(7):4051-3.
Sardana K, Mathachan SR, Khurana A. Current use of ivermectin in dermatology, Tropical Medicine, and covid-19: An update on pharmacology, uses, proven and varied proposed mechanistic action. Indian Dermatol Online J. 2021;12(4):500-14.
Maharani CS, Harnanti DV, Mappamasing H, et al. Crusted scabies in patients with long-term use of oral corticosteroid with different underlying disease-case series. Dermatol Rep 2019;11(s1):8095.
Motswaledi HM. Clinical diagnosis and treatment of scabies, a neglected tropical disease. S Afr Fam Pract (2004); 2021;63(1):e1-e6.
