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Scabies presenting as bullous pemphigoid-like eruption
J Bhawan1, E Milstone, R Malhotra
1Dermatopathology Section (Department of Dermatology), Boston University School of Medicine, MA 02118.
Journal of the American Academy of Dermatology
|February 1, 1991
Summary
Scabies can mimic other skin conditions, sometimes leading to misdiagnosis. This report details successful treatment of two patients with persistent, blistering scabies using lindane.
Area of Science:
- Dermatology
- Immunodermatology
Background:
- Scabies, a parasitic infestation, can present with varied clinical manifestations.
- Differential diagnosis of persistent or atypical skin eruptions is crucial.
Observation:
- Two patients presented with recurrent, persistent skin eruptions initially suspected as scabies.
- Eruptions progressed to include blistering, prompting further investigation.
Findings:
- Skin biopsies were consistent with bullous pemphigoid.
- Both patients achieved successful treatment and remained disease-free for up to six months following lindane therapy.
Implications:
- This case highlights the importance of considering bullous pemphigoid in refractory scabies-like presentations.
- Lindane can be an effective treatment option for such complex cases.