medigraphic.com
ISSN 2007-8013 (Print)
Órgano oficial de la Universidad Autónoma de Sinaloa

2020, Number 3

<< Back Next >>

Rev Med UAS 2020; 10 (3)

Nodular scabiasis of infrequent topography, presentation of a case

Alfaro-Orozco LP, Gaxiola-Álvarez EA, Rodríguez-Gutiérrez JS, Omaña-Domínguez M

Language: Spanish
References: 17
Page: 151-156
PDF size: 400.30 Kb.


ABSTRACT

Scabies is an ectoparasitic dermatosis caused by the mite Sarcoptes scabiei var. hominis. The most frequent source of transmission is direct person-to-person contact or through objects that carry the mites. There are three major clinical variants: classical, crusted and nodular. Nodular scabies is the least frequent variety and it manifests with erythematous nodules up to 2 cm in diameter, with a characteristic distribution in the buttocks, genitalia, intertriginous areas, and axillae. This clinical form is mildly pruritic. Clinical diagnosis is based on the presence of characteristic skin lesions, pruritus at night and history of exposure with an infected individual. First-line treatment includes topically administered permethrin and orally administered ivermectin. We report the case of a 55-year-old female, with no relevant history, diagnosed with nodular scabiasis with atypical topography, who received topical and oral scabicidal treatment, along with topical steroids, and presented an adequate response to therapy.


REFERENCES

  1. Gómez AP, Proy-Trujillo H, Eljure-López N,Diéguez CA, Rocher CC. Escabiosis: una revisión.Dermat Cosmet Méd Quir. 2013;11(3):217–23.

  2. Campillos-Páez MT, Causín-Serrano S,Duro-Mota E, Agudo-Polo S, Martinez-RamírezMO, Sánchez JM, et al. Escabiosis: revisióny actualización. Medifam.2002;12(7):442-452.

  3. Chosidow O. Scabies and pediculosis. Lancet.2000;355(9206):819–26.

  4. Santos-Juanes J, Galache C, Martínez-CorderoA, Curto JC, Sánchez-Del Río J. Sarna:revisión de la clínica y nuevos tratamientos.Rev Esp Sanid Penit. 2012;3(1):49-54.

  5. Shimose L, Munoz-Price LS. Diagnosis, prevention,and treatment of scabies. Curr InfectDis Rep. 2013;15(5):426–31.

  6. Elosua-González M, García-Zamora E. Crustedscabies. N Engl J Med. 2017;377(5):476.

  7. Shmidt E, Levitt J. Dermatologic infestations.Int J Dermatol. 2012;51(2):131–41.

  8. Reddy DR, Reddy PR. Nodular scabies: aclassical case report in an adolescent boy. JParasit Dis. 2015;39(3):581–3.

  9. Czeschik JC, Huptas L, Schadendorf D, HillenU. Nodular scabies: hypersensitivity reactionor infection?. J Dtsch Dermatol Ges.2011;9(10):840.

  10. Strong M, Johnstone P. Cochrane review: interventionsfor treating scabies. Cochrane DatabaseSyst Rev. 2007 ;(3):CD000320.

  11. de Almeida HL. Treatment of steroid-resistantnodular scabies with topical pimecrolimus. JAm Acad Dermatol. 2005;53(2):357–8.

  12. Mittal A, Garg A, Agarwal N, Gupta L, KhareAK. Treatment of nodular scabies with topicaltacrolimus. Indian Dermatol Online J.2013;4(1):52.

  13. Mittal RR, Jain C, Jindal R. Treatment of nodularscabies (le). Indian J Dermatology VenereolLeprol. 1998;64(3):157.

  14. Suk LEEM, Kyung KOHB. Sarcoptes scabieiin infundibulum of nodular scabies. J Dermatol.2005;32(1):69–70.

  15. Kataoka Y, Nakai N, Katoh N. Histology ResemblingCutaneous T-Cell Lymphoma inNodular Scabies: A Case Report. Indian JDermatol. 2016;61(1):125.

  16. Ploysangam T, Breneman DL, Mutasim DF.Cutaneous pseudolymphomas. J Am AcadDermatol. 1998;38(6):877–98.

  17. Thomson J, Cochrane T, Cochrane R,McQueen A. Histology simulating reticulosisin persistent nodular scabies. Br J Dermatol.1974;90(4):421–9.




2020     |     www.medigraphic.com