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Crusted scabies due to indiscriminate use of glucocorticoid therapy in infant

Fernanda Carvalho da Rocha Lima1, Ana Maria Mósca Cerqueira1,2,3,4, Manuela Boleira Sieiro Guimarães1

  • 1Dermatology Service of the General Polyclinic of Rio de Janeiro (PGRJ) - Rio de Janeiro (RJ), Brazil.

Anais Brasileiros De Dermatologia
|November 30, 2017
PubMed

Insights

Crusted scabies, a severe form of mite infestation, can occur in infants due to misdiagnosis. Mismanagement with corticosteroids can worsen this condition, leading to dangerous infections and sepsis.

Area of Science:

  • Dermatology
  • Infectious Diseases
  • Parasitology

Background:

  • Crusted scabies is a severe infestation caused by Sarcoptes scabiei var. hominis.
  • It primarily affects immunocompromised individuals and those with neurological conditions.

Observation:

  • A case of crusted scabies in a 4-month-old infant is presented.
  • The infant was initially misdiagnosed with atopic dermatitis and treated with high-dose corticosteroids.

Findings:

  • Misdiagnosis and excessive corticosteroid use facilitated the progression to crusted scabies.
  • Secondary infection and sepsis were major complications observed in the infant.

Implications:

  • Highlights the importance of accurate diagnosis in pediatric scabies cases.
  • Underscores the risks associated with inappropriate corticosteroid use in infants.
  • Emphasizes the potential for severe complications like sepsis in crusted scabies.

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