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[Infantile acropustolosis: unusual manifestation of scabies in the infant?]
J Nguyen1, M Strobel, J P Arnaud
1Service de Pédiatrie, Hôpital Saint-Hyacinthe, Basse-Terre, Guadeloupe.
Abstract:
Three pediatric cases of vesiculopustules persisting for several months or years after eradication of Sarcoptes scabiei are reported. This particular course of scabies in infants is underrecognized although probably common. Its clinical manifestations, natural history and histologic features are identical to those seen in infantile acropustulosis, a recently individualized syndrome whose pathogenesis is unelucidated. In the light of these cases and a review of the literature, the possible relationship between scabies and infantile acropustulosis is discussed.
Insights
Persistent infant vesiculopustules after scabies treatment may be common. These cases suggest a link between scabies and infantile acropustulosis, requiring further investigation.
Area of Science:
- Pediatric Dermatology
- Infectious Diseases
Background:
- Scabies, caused by Sarcoptes scabiei, is a common parasitic infestation.
- Infantile acropustulosis is a distinct pediatric skin condition with unknown causes.
Observation:
- Three infant cases presented with persistent vesiculopustules lasting months to years post-scabies treatment.
- Clinical, historical, and histological features were indistinguishable from infantile acropustulosis.
Findings:
- The study highlights an underrecognized presentation of scabies in infants.
- The findings suggest a potential association between Sarcoptes scabiei infection and infantile acropustulosis.
Implications:
- This research may lead to a re-evaluation of infantile acropustulosis pathogenesis.
- Understanding this link can improve diagnosis and management of persistent infant skin conditions.