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[Crusted scabies induced by topical corticosteroids: A case report]
P Bilan1, A-M Colin-Gorski2, E Chapelon2
1Service de dermatologie, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-Colonel-Prudhon, 95100 Argenteuil, France.
Summary
Crusted scabies, a severe form of the skin infestation, can be induced by prolonged topical corticosteroid use in children. This highlights the need for careful corticosteroid application in scabies cases.
Area of Science:
- Dermatology
- Parasitology
- Public Health
Background:
- Scabies is a contagious skin infestation caused by mites.
- Crusted scabies is a severe, highly contagious form often seen in immunocompromised individuals.
- Topical corticosteroids are commonly used for pediatric dermatological conditions.
Observation:
- The case involves an 8-year-old boy with crusted scabies.
- The condition was induced by inappropriate long-term application of topical corticosteroids.
- Crusted lesions are a key clinical feature distinguishing it from classic scabies.
Findings:
- Inappropriate topical corticosteroid use can trigger crusted scabies in children.
- This form of scabies presents with extensive crusted lesions and a high mite burden.
- Treatment for crusted scabies is challenging and typically requires hospitalization.
Implications:
- Clinicians must exercise caution when prescribing topical corticosteroids for children with suspected scabies.
- Awareness of corticosteroid-induced crusted scabies is crucial for accurate diagnosis and management.
- Further research into safer treatment protocols for severe scabies is warranted.
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