Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\27402514
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Trop+Med+Hyg
2016 ; 95
(3
): 689-93
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Bullous Scabies
#MMPMID27402514
Luo DQ
; Huang MX
; Liu JH
; Tang W
; Zhao YK
; Sarkar R
Am J Trop Med Hyg
2016[Sep]; 95
(3
): 689-93
PMID27402514
show ga
Scabies is a common contagious cutaneous disease and usually affects the young,
characterized by polymorphous lesions that may present as burrows, pruritic
papules, and inflammatory nodules. Bullous scabies (BS) is its rather rare
subtype, mimicking bullous pemphigoid. We report a 15-year-old Chinese boy
presenting with 1-month history of pruritic bullae on his penile skin, showing
poor response to both topical steroids and systemic antihistamines, but cured by
sulfur ointment alone. No recurrence occurred in the 5 years of follow-up. We
also reviewed the published cases. Up to date, 44 cases, including the present,
have been reported. Of them, 30 were male and 14 were female. The age range was
from 1 to 89 years old, with a median age of 70.6 years. The bullous lesions may
involve the arms, legs, trunk, genitals, feet, buttocks, thighs, neck, inguinal
folds, and may even be generalized. Trunk and extremities are the most common
involved locations. Facial or mucosa involvement had never been reported. The
histological findings present as a subepidermal split with variable inflammatory
infiltrate predominantly neutrophils, and eosinophilic spongiosis, or both.
Eighteen of 32 patients showed positive deposition of linear-granular IgG or
complement 3 alone or in various combinations, and five of 24 patients revealed
circulating IgG. All the 40 cases with therapeutic details were cured by
antiscabietic remedy. BS always involves the trunk and extremities. It has a
predilection for elderlies and males. The treatments for BS are similar to those
of classical scabies.