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Neonatal scabies

F Camassa1, M Fania, G Ditano

  • 1Department of Dermatology, Casa Sollievo della Sofferenza Hospital--IRCCS, San Giovanni Rotondo, Italy.

Cutis
|October 1, 1995
PubMed
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Infants treated with topical steroids developed severe Norwegian scabies due to weakened immune responses. This highlights a potential risk of long-term steroid use in young children.

Area of Science:

  • Dermatology
  • Pediatrics
  • Immunology

Background:

  • Scabies is a common parasitic infestation.
  • Norwegian scabies is a severe form of scabies.
  • Topical steroids are frequently used to treat inflammatory skin conditions in infants.

Purpose of the Study:

  • To investigate the link between topical steroid use and Norwegian scabies in infants.
  • To understand the role of immune suppression in severe scabies presentations.

Main Methods:

  • Retrospective case series analysis.
  • Evaluation of eleven infants hospitalized for scabies.
  • Review of treatment history, focusing on topical steroid use.

Main Results:

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  • Eleven infants (2-9 months) were diagnosed with scabies.
  • Six infants presented with Norwegian scabies.
  • These six infants had received prolonged topical steroid treatment for presumed atopic dermatitis.

    • Conclusions:

    • Prolonged topical steroid use in infants may lead to localized immune suppression.
    • This immune suppression can facilitate the development of Norwegian scabies.
    • Caution is advised regarding long-term topical steroid application in infants with inflammatory skin conditions.