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Face scabies in the elderly: when dermoscopy can be a game changer
Andrea Corio1, Enrico Zelin2, Vanessa Mazzoletti3
1Dermatology Clinic, Maggiore Hospital, University of Trieste. andrea.corio.fe@gmail.com.
Dermatology Reports
|March 12, 2025
Summary
Scabies, a mite infestation, typically avoids the face in adults. This case highlights facial scabies in an immunocompetent individual, challenging standard treatment guidelines.
Area of Science:
- Dermatology
- Parasitology
- Epidemiology
Background:
- Scabies is a common skin infestation caused by Sarcoptes scabiei.
- Classic presentation involves hands, wrists, and body folds.
- Facial involvement is rare in immunocompetent adults.
Purpose of the Study:
- To report a case of facial scabies in an immunocompetent adult.
- To discuss the implications for diagnosis and treatment.
Main Methods:
- Case report.
- Clinical examination.
- Review of literature.
Main Results:
- The patient presented with intense itching and a rash on the face.
- Scabies mites were identified on facial skin scrapings.
- Standard scabicidal treatments were effective.
Conclusions:
- Facial scabies can occur in immunocompetent adults.
- Clinicians should consider scabies in cases of unexplained facial pruritus.
- Treatment protocols may need to be adapted for facial involvement.
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