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Case Report: Scabies Invading Gingival Tissue.

Hélder Domiciano Dantas Martins1,2, Ozawa Brasil Junior2, Sirius Dan Inaoka2

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Oral scabies, a rare parasitic infestation caused by Sarcoptes scabiei, can manifest on the gingiva. This case highlights successful treatment with ivermectin, emphasizing thorough examination for unusual oral lesions.

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Area of Science:

  • Dermatology
  • Oral Medicine
  • Parasitology

Background:

  • Non-plaque-induced gingival lesions can indicate systemic conditions or medical disorders.
  • Scabies, caused by the mite Sarcoptes scabiei, is a common parasitic infestation primarily affecting the skin.

Observation:

  • A 43-year-old woman presented with an ulcerative gingival lesion, initially suspected to be pemphigoid.
  • Microscopic examination revealed eggs and larval forms of Sarcoptes scabiei, confirming oral scabies.

Findings:

  • This report details the first documented case of oral scabies localized to the gingiva.
  • Treatment with oral ivermectin, chlorhexidine rinses, and meticulous hygiene resulted in complete resolution of oral and skin lesions within 30 days.
  • The patient tolerated the treatment well, with no reported adverse effects.

Implications:

  • Highlights the importance of comprehensive ectoscopy and considering unusual etiologies for gingival lesions.
  • Suggests oral scabies as a differential diagnosis for unexplained ulcerative gingival conditions.
  • Demonstrates the efficacy of ivermectin in treating oral scabies, a condition rarely reported in dental literature.