Asnawi Vella, Maulida Mimi, Hidayati Arie, Gunawan Hendra, Dwiyana Reiva Farah, Hindritiani Reti
Department of Dermatology and Venereology, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia.
Department of Dermatology and Venereology, Dr. Zainoel Abidin General Hospital, Banda Aceh, Aceh, Indonesia.
Int Med Case Rep J. 2023 Mar 11;16:153-158. doi: 10.2147/IMCRJ.S396234. eCollection 2023.
Scabies is a parasitic skin disease caused by . Crusted scabies, also known as Norwegian scabies, is a rare and severe form of scabies that occurs more frequently in immunocompromised, elderly, disabled, and debilitated patients. The present study reports a case of crusted scabies combined with bullous scabies. A 44-year-old man was admitted with the chief complaint of red, thick, scaly patches of skin accompanied by crusting that felt itchy and worsened at night. The lesions had appeared all over his body intermittently for the last 10 years; however, the complaints worsened in the last 2 months. From dermatological status, the anterior and posterior thoracic regions and between the fingers of both hands showed generalized distribution of erythematous, yellowish, hyperkeratotic plaques with clear boundaries, pustules, and blisters on an erythematous base with multiple erosions and excoriations. were found on skin scraping examination, and histopathological examination supported the diagnosis of bullous scabies. The patient received 5% permethrin lotion topical therapy and systemic ivermectin therapy. In addition, the patient was given systemic antibiotics. The lesions improved after 2 weeks of therapy, and no were found on the subsequent microscopic examination. Treatment with a combination of topical and systemic scabicidal agents produced a favorable outcome in this patient.
疥疮是一种由……引起的寄生虫性皮肤病。结痂性疥疮，也称为挪威疥疮，是一种罕见且严重的疥疮形式，在免疫功能低下、老年人、残疾人和体弱患者中更常见。本研究报告了一例结痂性疥疮合并大疱性疥疮的病例。一名44岁男性因皮肤出现红色、增厚、鳞屑状斑块并伴有结痂，伴有瘙痒且夜间加重为主诉入院。在过去10年中，这些皮疹间歇性地出现在他全身；然而，在过去2个月中症状加重。从皮肤病学状况来看，前胸和后背区域以及双手手指间可见边界清晰的红斑、淡黄色、角化过度斑块广泛分布，在红斑基础上有脓疱和水疱，伴有多处糜烂和抓痕。皮肤刮片检查发现……，组织病理学检查支持大疱性疥疮的诊断。患者接受了5%氯菊酯洗剂局部治疗和全身性伊维菌素治疗。此外，还给患者使用了全身性抗生素。治疗2周后皮损改善，随后的显微镜检查未发现……。局部和全身性杀疥剂联合治疗在该患者中取得了良好效果。
