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Crusted scabies in pregnancy

M R Judge¹, A Kobza-Black

¹St John's Dermatology Centre, St Thomas' Hospital, London, U.K.

The British Journal of Dermatology

|January 1, 1995

Summary

A pregnant woman developed crusted scabies, a severe form of the skin infestation. This case highlights the importance of persistent treatment and monitoring for scabies in pregnant individuals and their families.

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Area of Science:

Dermatology
Parasitology
Public Health

Background:

Scabies is a contagious skin infestation caused by the mite Sarcoptes scabiei.
Crusted scabies is a severe, hyperkeratotic form of scabies, typically seen in immunocompromised individuals.
Pregnancy can alter immune responses, potentially influencing susceptibility to infections.

Observation:

A 19-year-old, otherwise healthy pregnant woman presented with crusted scabies.
The patient and her husband had a history of treated scabies with multiple relapses.
Their infant subsequently developed scabies.

Findings:

This is the first reported case of crusted scabies in a healthy pregnant woman.
Despite appropriate treatment, the family experienced persistent scabies infections.
The infection was ultimately eradicated after persistent management.

Implications:

Crusted scabies can occur in immunocompetent individuals, including pregnant women.
Persistent and recurrent scabies infestations in families require thorough evaluation and management.
This case underscores the need for vigilance in diagnosing and treating scabies during pregnancy to prevent severe forms and transmission.

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