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Related Experiment Video

Updated: May 29, 2026

A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis

A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis

Published on: August 12, 2020

Neonatal Norwegian scabies: three cooperating causes.

Giulio Gualdi¹, Laura Bigi, Giovanna Galdo

¹Department of Dermatology, University of Modena and Reggio Emilia, Italy.

Journal of Dermatological Case Reports

|September 3, 2011

Summary

Crusted scabies is rare in infants, but this case highlights how atopic dermatitis and immune suppression can lead to unusual presentations. Consider scabies if eczema treatments fail.

Keywords:

Sarcoptes scabiei atopic dermatitis glucocorticoids scabies topical

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Area of Science:

Dermatology
Pediatrics
Infectious Diseases

Background:

Norwegian (crusted) scabies is rarely reported in infants, typically occurring in immunocompromised individuals.
Atopic dermatitis is a common inflammatory skin condition in infants.
Iatrogenic immunosuppression can increase susceptibility to infections.

Observation:

A case of an infant with atopic dermatitis presented with severe skin conditions.
Initial treatment with topical and systemic steroids for atopic dermatitis was ineffective.
Clinical examination and microscopic analysis of skin scrapings confirmed crusted scabies.

Findings:

The infant's physiological inability to scratch, atopic dermatitis, and iatrogenic immunosuppression likely contributed to the crusted scabies diagnosis.
This presentation of crusted scabies in an infant is highly unusual.

Implications:

This case suggests that crusted scabies should be considered in infants with atopic dermatitis who fail to respond to standard eczema treatments.
Early diagnosis and appropriate treatment are crucial for managing crusted scabies in infants.
Healthcare providers should be aware of the atypical presentations of scabies in vulnerable pediatric populations.