Bullous scabies: a case report and review of the literature

BMC Research Notes

Muhammad Arif²  Abdul Malik Amir Humza Sohail¹  Muhammad Soban Arif Maan¹  Muhammad Arslan Arif Maan¹ 

[1] Aga Khan University, Stadium Road, Karachi, Pakistan;Department of Dermatology, Punjab Medical College, Faisalabad, Pakistan

关键词: Pakistan;    Maculopapular rash;    Bullous Pemphigoid;    Scabies;    Bullae;   

Others  :  1231714
DOI  :  10.1186/s13104-015-1146-4

 received in 2014-12-27, accepted in 2015-04-22,  发布年份 2015

【 摘 要 】

Background

Scabies is a common parasitic infection caused by the mite Sarcoptes Scabiei. About 300 million cases of scabies are reported annually. Scabies usually presents clinically with an erythematous excoriated papulovesicular rash, burrows, nodules and hyperkeratotic lesions in specific body areas.

A rare presentation of scabies is the bullous pemphigoid-like bullous scabies. So far, to the best of our knowledge, only 32 cases of bullous scabies have been reported in medical literature, of which only 11 were under 60 years of age at the time of initial presentation. This is the first case of bullous scabies being reported from Pakistan.

Case presentation

Herein we discuss, with reference to the existing literature, the case of a 23-year-old Punjabi male who presented with a 3 day history of a tense, non-erythematous, non-tender bulla measuring approximately 0.5 cm x 0.8 cm on the right foot near the interdigital cleft. He was diagnosed to have bullous scabies.

Conclusion

The diagnosis of scabies should be considered in all patients who present with tense bullous lesions accompanied by pruritus and a maculopapular rash. This is particularly relevant if these lesions do not resolve with steroid treatment. In such patients, in order to prevent a misdiagnosis of bullous pemphigoid, scrapings for Sarcoptes Scabiei mites and eggs should be taken.

【 授权许可】

   
2015 Arif Maan et al.

【 图 表 】

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