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[Infective dermatitis and recurrent strongyloidiasis in a child]
E Clyti1, C Reynier, P Couppie
1Service de Dermatologie, Centre Hospitalier Andrée Rosemon, BP 6006, 97306 Cayenne Cedex. c.emmanuel@voila.fr
Annales De Dermatologie Et De Venereologie
|March 18, 2004
Summary
Infective dermatitis, a skin condition linked to HTLV-1, was observed in a young Haitian girl. This case highlights a mild form of the disease and its association with chronic anguillulosis.
Area of Science:
- Dermatology
- Infectious Diseases
- Pediatrics
Background:
- Infective dermatitis is a chronic childhood skin condition.
- It is frequently associated with Human T-lymphotropic virus type 1 (HTLV-1) infection.
- This report details a case in French Guyana.
Observation:
- An 8-year-old girl presented with recurrent dermatosis on the scalp and armpits since age 2.
- Clinical examination revealed facial micro-papules and nasal pyoderma caused by Staphylococcus aureus.
- The patient also had persistent symptomatic anguillulosis, resistant to standard treatments.
Findings:
- Serologic tests confirmed HTLV-1 positivity.
- Staphylococcus aureus isolated lacked exfoliatin and leucocidin.
- The child experienced a cure for both dermatosis and anguillulosis with monthly ivermectin treatment.
Implications:
- This is the first reported case of infective dermatitis in French Guyana.
- The case represents a mild form of the dermatosis.
- It is the first documented instance of chronic digestive anguillulosis co-occurring with infective dermatitis, suggesting a link with HTLV-1 infection.