婴儿因滥用糖皮质激素治疗导致结痂性疥疮。

Crusted scabies due to indiscriminate use of glucocorticoid therapy in infant.

作者信息

Lima Fernanda Carvalho da Rocha, Cerqueira Ana Maria Mósca, Guimarães Manuela Boleira Sieiro, Padilha Carolina Barbosa de Sousa, Craide Fernanda Helena, Bombardelli Marina

机构信息

Dermatology Service of the General Polyclinic of Rio de Janeiro (PGRJ) - Rio de Janeiro (RJ), Brazil.

Dermatology Service of Jesus Municipal Hospital - Rio de Janeiro (RJ), Brazil.

出版信息

An Bras Dermatol. 2017 May-Jun;92(3):383-385. doi: 10.1590/abd1806-4841.20174433.

DOI:10.1590/abd1806-4841.20174433

PMID:29186253

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5514581/

Abstract

Crusted or Norwegian scabies is a parasitic infectious disease caused by Sarcoptes scabiei var. hominis that mainly affects immunocompromised individuals and those with neurological patients. We report a case of crusted scabies in a 4-month-old infant who had been treated erroneously for atopic dermatitis with high doses of corticosteroids. This initial misdiagnosis associated with the abusive use of corticosteroid facilitated the evolution of scabies to crusted scabies and its main complications of secondary infection and sepsis.

摘要

结痂性疥疮或挪威疥疮是由人疥螨引起的一种寄生虫感染性疾病，主要影响免疫功能低下的个体以及患有神经系统疾病的患者。我们报告一例4个月大婴儿的结痂性疥疮病例，该婴儿曾被误诊为特应性皮炎并接受了高剂量皮质类固醇治疗。这种最初的误诊以及皮质类固醇的滥用促使疥疮发展为结痂性疥疮，并引发了继发感染和败血症等主要并发症。