Norwegian scabies in a patient treated with Tripterygium glycoside for rheumatoid arthritis
Abstract: We report an 80-year-old male patient with severe rheumatoid arthritis who was treated with tripterygium glycoside, an immunosuppressive agent made from the extract of a Chinese medicinal herb called Tripterygium wilfordii Hook F. The patient had no apparent skin lesions before the treatme...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Dermatologia
2017-08-01
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| Series: | Anais Brasileiros de Dermatologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/pdf/abd/v92n4/0365-0596-abd-92-04-0556.pdf |
| _version_ | 1818743586502475776 |
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| author | Xiaolin Bu Juan Fan Xiaoli Hu Xinling Bi Bin Peng Denghai Zhang |
| author_facet | Xiaolin Bu Juan Fan Xiaoli Hu Xinling Bi Bin Peng Denghai Zhang |
| author_sort | Xiaolin Bu |
| collection | DOAJ |
| description | Abstract: We report an 80-year-old male patient with severe rheumatoid arthritis who was treated with tripterygium glycoside, an immunosuppressive agent made from the extract of a Chinese medicinal herb called Tripterygium wilfordii Hook F. The patient had no apparent skin lesions before the treatment, but he developed aggressive hyperkeratotic lesions with rapid progression after using tripterygium glycoside. He was repeatedly diagnosed with eczema, but treatment failed to achieve efficacy. Interestingly, a microscopic examination of the lesions revealed numerous scabies mites and eggs. Thus, we confirmed the diagnosis of Norwegian scabies infection. Treated with crotamiton 10% cream and 10% sulfur ointment for one month, the patient's clinical symptoms disappeared. |
| first_indexed | 2024-12-18T02:30:46Z |
| format | Article |
| id | doaj.art-9cf535b6bc6641898173be6c71a8cad8 |
| institution | Directory Open Access Journal |
| issn | 0365-0596 |
| language | English |
| last_indexed | 2024-12-18T02:30:46Z |
| publishDate | 2017-08-01 |
| publisher | Sociedade Brasileira de Dermatologia |
| record_format | Article |
| series | Anais Brasileiros de Dermatologia |
| spelling | doaj.art-9cf535b6bc6641898173be6c71a8cad82022-12-21T21:23:54ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962017-08-0192455655810.1590/abd1806-4841.20174946Norwegian scabies in a patient treated with Tripterygium glycoside for rheumatoid arthritisXiaolin BuJuan FanXiaoli HuXinling BiBin PengDenghai ZhangAbstract: We report an 80-year-old male patient with severe rheumatoid arthritis who was treated with tripterygium glycoside, an immunosuppressive agent made from the extract of a Chinese medicinal herb called Tripterygium wilfordii Hook F. The patient had no apparent skin lesions before the treatment, but he developed aggressive hyperkeratotic lesions with rapid progression after using tripterygium glycoside. He was repeatedly diagnosed with eczema, but treatment failed to achieve efficacy. Interestingly, a microscopic examination of the lesions revealed numerous scabies mites and eggs. Thus, we confirmed the diagnosis of Norwegian scabies infection. Treated with crotamiton 10% cream and 10% sulfur ointment for one month, the patient's clinical symptoms disappeared.http://www.scielo.br/pdf/abd/v92n4/0365-0596-abd-92-04-0556.pdfArthritis, rheumatoidHerbal medicineImmunosuppressionSarcoptes scabiei |
| spellingShingle | Xiaolin Bu Juan Fan Xiaoli Hu Xinling Bi Bin Peng Denghai Zhang Norwegian scabies in a patient treated with Tripterygium glycoside for rheumatoid arthritis Anais Brasileiros de Dermatologia Arthritis, rheumatoid Herbal medicine Immunosuppression Sarcoptes scabiei |
| title | Norwegian scabies in a patient treated with Tripterygium glycoside for rheumatoid arthritis |
| title_full | Norwegian scabies in a patient treated with Tripterygium glycoside for rheumatoid arthritis |
| title_fullStr | Norwegian scabies in a patient treated with Tripterygium glycoside for rheumatoid arthritis |
| title_full_unstemmed | Norwegian scabies in a patient treated with Tripterygium glycoside for rheumatoid arthritis |
| title_short | Norwegian scabies in a patient treated with Tripterygium glycoside for rheumatoid arthritis |
| title_sort | norwegian scabies in a patient treated with tripterygium glycoside for rheumatoid arthritis |
| topic | Arthritis, rheumatoid Herbal medicine Immunosuppression Sarcoptes scabiei |
| url | http://www.scielo.br/pdf/abd/v92n4/0365-0596-abd-92-04-0556.pdf |
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