Nurimar C.F. Wanke; Claudia Melo; Viviam Balassiano
ABSTRACT
A child with systemic lupus erythematosus who has been treated with prednisone for three years, developed crusted scabies. Scrapings from lesions revealed Sarcoptes scabiei adult mites mad eggs. The patient died with septicemia and renal failure soon after starting topical 20% sulfur. A marked improvement was observed in the cutaneous lesions.
Keywords: Scabies. Crusted scabies. Norwegian scabies.
RESUMO
E descrito um caso de sarna crostosa em criança portadora de lupus eritematoso sistêmico em tratamento com prednisona há três anos. O raspado das lesões cutâneas revelou ovos e ácaros adultos de Sarcoptes scabiei. A paciente faleceu por sepsis e insuficiência renal pouco tempo após início da terapêutica tópica com enxofre a 20%. Melhora importante foi observada no quadro dermatológico.
Palavras-chave: Escabiose. Sarna crostosa. Sarna norueguesa.
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REFERENCES
1. Barnes L, Me Callister RE, Lucky AW. Crusted (Norwegian) scabies. Occurence in a child undergoing a bone marrow transplant. Archives of Dermatology 123:95-97, 1987. [ Links ]
2. Glover A, Young L, Goltz AW. Norwegian scabies in acquired immunodeficiency syndrome: report of a case resulting in death from associated sepsis. Journal of the American Academy of Dermatology 16:396-399, 1987. [ Links ]
3. Hall JC, Brewer JH, Appl BA. Norwegian scabies in a patient with acquired immunodeficiency syndrome. Cutis 43:325-329, 1989. [ Links ]
4. Jucowics P, Ramon ME, Don PC, Stoner RK, Bamji M. Norwegian scabies in an infant with acquired immunodeficiency syndrome. Archives of Dermatology 125:1670-1671, 1989. [ Links ]
5. Rau RC, Baird IM. Crusted scabies in a patient with acquired immunodeficiency syndrome. Journal of the American Academy of Dermatology 15:1058- 1059, 1986. [ Links ]
6. Sadick N, Kaplan MH, Pahwa SG, Sarngadharan MG. Unusual features of scabies complicating human T-lymphocytic virus type III infection. Journal of the American Academy of Dermatology 15:482-486, 1986. [ Links ]
7. SavallR, PuigX, Felip A. Samanoruega. Medicina Cutânea Ibero Latina Americana 13:115-117,1985. [ Links ]
8. Scherbenske JM, Benson PM, Rotchford JP, James WD. Cutaneous and ocular manifestations of Down syndrome. Journal of the American Academy of Dermatology 22:933-938, 1990. [ Links ]
9. Wolf R. Krakowski A. Atypical crusted scabies. Journal of the American Academy of Dermatology 17:434-436, 1987. [ Links ]
10. Wolf R. Krakowski A. Scabies norvegica. Bericht über zwei Fälle. Hautarzt 38:430-431, 1987. [ Links ]
Adress to correspondence:
Dra. Nurimar C. F. Wanke.
Hospital Universitário Clementino Fraga Filho.
Av. Brigadeiro Trompowsky, s/n
Cidade Universitária
21910-000
Rio de Janeiro, RJ, Brasil.
Recebido para publicação em 17/12/91.
Department of Internal Medicine, School of Medicine and Dermatology Unit, Clementino Fraga Filho University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brasil.
