Scrape to Nail the Diagnosis: A “Mitey” Challenge in an Erythroderma
Norwegian (crusted) scabies is a highly contagious form of scabies which can evolve into erythroderma at times. We herein report a case of a 29-year-old male patient, an established case of epidermolysis bullosa dystrophica (EBD), presented to us with asymptomatic generalized scaling and crusting of...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2023-06-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/17980/14427_CE[Ra]_F(Sh)_PF1_(VIAK)_PFA_(OM)_PN(SS).pdf |
| _version_ | 1797821273979486208 |
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| author | S Praveen Kumar TK Sumathy AL Shyam Prasad Archana Lakshman |
| author_facet | S Praveen Kumar TK Sumathy AL Shyam Prasad Archana Lakshman |
| author_sort | S Praveen Kumar |
| collection | DOAJ |
| description | Norwegian (crusted) scabies is a highly contagious form of scabies which can evolve into erythroderma at times. We herein report a case of a 29-year-old male patient, an established case of epidermolysis bullosa dystrophica (EBD), presented to us with asymptomatic generalized scaling and crusting of 2 months duration. On examination patient also had dystrophic nails, anonychia and joint contractures. With a high index of suspicion, a scraping for KOH mount had done, which showed numerous scabies mites, eggs and faecal pellets. The patient was started on weekly oral Ivermectin (200mcg/kg) and topical 5% permethrin application. There was dramatic response within 1-2 weeks. This case is presented to highlight the diagnostic challenge that erythroderma may be due to Norwegian scabies or the primary entity- epidermolysis bullosa dystrophica (EBD). The association of EBD and Norwegian scabies has been reported in literature. A simple bedside test like scraping can nail the diagnosis, provided there is a high index of suspicion. |
| first_indexed | 2024-03-13T09:50:39Z |
| format | Article |
| id | doaj.art-2f9b989cc2f54cd2984452d4f6b698ca |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-03-13T09:50:39Z |
| publishDate | 2023-06-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-2f9b989cc2f54cd2984452d4f6b698ca2023-05-24T10:18:33ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-06-01176WD01WD0210.7860/JCDR/2023/14427.17980Scrape to Nail the Diagnosis: A “Mitey” Challenge in an ErythrodermaS Praveen Kumar0TK Sumathy1AL Shyam Prasad2Archana Lakshman3Associate Professor, Department of Dermatology, Ramaiah Medical College, MSRIT post, Bengaluru, Karnataka, India.Senior Professor and Head, Department of Dermatology, Ramaiah Medical College, MSRIT post, Bengaluru, Karnataka, India.Adjunct Professor, Department of Dermatology, Ramaiah Medical College, MSRIT post, Bengaluru, Karnataka, India.Ex-Senior Resident, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India.Norwegian (crusted) scabies is a highly contagious form of scabies which can evolve into erythroderma at times. We herein report a case of a 29-year-old male patient, an established case of epidermolysis bullosa dystrophica (EBD), presented to us with asymptomatic generalized scaling and crusting of 2 months duration. On examination patient also had dystrophic nails, anonychia and joint contractures. With a high index of suspicion, a scraping for KOH mount had done, which showed numerous scabies mites, eggs and faecal pellets. The patient was started on weekly oral Ivermectin (200mcg/kg) and topical 5% permethrin application. There was dramatic response within 1-2 weeks. This case is presented to highlight the diagnostic challenge that erythroderma may be due to Norwegian scabies or the primary entity- epidermolysis bullosa dystrophica (EBD). The association of EBD and Norwegian scabies has been reported in literature. A simple bedside test like scraping can nail the diagnosis, provided there is a high index of suspicion.https://jcdr.net/articles/PDF/17980/14427_CE[Ra]_F(Sh)_PF1_(VIAK)_PFA_(OM)_PN(SS).pdfepidermolysisbullosalvermectinscabies |
| spellingShingle | S Praveen Kumar TK Sumathy AL Shyam Prasad Archana Lakshman Scrape to Nail the Diagnosis: A “Mitey” Challenge in an Erythroderma Journal of Clinical and Diagnostic Research epidermolysisbullosa lvermectin scabies |
| title | Scrape to Nail the Diagnosis: A “Mitey” Challenge in an Erythroderma |
| title_full | Scrape to Nail the Diagnosis: A “Mitey” Challenge in an Erythroderma |
| title_fullStr | Scrape to Nail the Diagnosis: A “Mitey” Challenge in an Erythroderma |
| title_full_unstemmed | Scrape to Nail the Diagnosis: A “Mitey” Challenge in an Erythroderma |
| title_short | Scrape to Nail the Diagnosis: A “Mitey” Challenge in an Erythroderma |
| title_sort | scrape to nail the diagnosis a mitey challenge in an erythroderma |
| topic | epidermolysisbullosa lvermectin scabies |
| url | https://jcdr.net/articles/PDF/17980/14427_CE[Ra]_F(Sh)_PF1_(VIAK)_PFA_(OM)_PN(SS).pdf |
| work_keys_str_mv | AT spraveenkumar scrapetonailthediagnosisamiteychallengeinanerythroderma AT tksumathy scrapetonailthediagnosisamiteychallengeinanerythroderma AT alshyamprasad scrapetonailthediagnosisamiteychallengeinanerythroderma AT archanalakshman scrapetonailthediagnosisamiteychallengeinanerythroderma |