Scabies Surrepticus Presenting As Chronic Urticaria – A Case Report and Literally Review of Diagnosis Method and Treatment

  • Home
  • Scabies Surrepticus Presenting As Chronic Urticaria – A Case Report and Literally Review of Diagnosis Method and Treatment

Scabies Surrepticus Presenting As Chronic Urticaria – A Case Report and Literally Review of Diagnosis Method and Treatment

1Yoanna Velevska,2 Filka Georgieva, 3Zhenya Stoyanova
1,2,3Department of Infecrion diseases, Parasitology and Dermatovenerology, Faculty of Medicine, Medical University, Varna


ABSTRACT:

Scabies surrepticius represents the non-classic atypical presentation of scabies and diagnosing scabies in these individuals could be difficult. We present a clinical case of a 71-year-old woman with intense body pruritus for about 2 years, unresponsive to oral and topical antibiotics, corticosteroid creams, topical calcineurin inhibitors, as well as antiallergic agents, due to a suspected allergic reaction.

 

KEYWORDS:

Scabies surrepticius, non-classic atypical presentation of scabies, intense body itching, diagnosis of scabies, treatment for scabies.

 

REFERENCES :

1) Roncalli RA. The history of scabies in veterinary and human medicine from biblical to modern times. Vet Parasitol. 1987;25(2):193–8.
2) Arlian, L.G., Morgan, M.S. A review of Sarcoptes scabiei: past, present and future. Parasites Vectors 10, 297 (2017). https://doi.org/10.1186/s13071-017-2234-1.
3) Kandi V. Laboratory diagnosis of scabies using a simple saline mount: a clinical microbiologist’s report. Cureus 2017;9(3):e1102.
4) Meletis G, Oustas E,Kemanetzi C et al. Is the simple saline mount technique more effective than potassium hydroxide for the microscopic detection of Sarcoptes scabiei? J Parasitol.2018;104(1):109.
5) Foo CW,Florell SR,Bowen AR.Polarizable elements in scabies infestation: a clue to diagnosis.J Cutan Pathol.2013;40(1):6–10.
6) Elwood H,Berry RS,Gardner JM et al.Superficial fibrin thrombi … and other findings: a review of the histopathology of human scabietic infections.J Cutan Pathol.2015;42(5):346–52.
7) Casais R,Prieto M,Balseiro A et al.Identification and heterologous expression of a Sarcoptes scabiei cDNA encoding a structural antigen with immunodiagnostic potential.Vet Res.2007;38(3):435–50.
8) Bezold G, Lange M, Schiener R et al. Hidden scabies: diagnosis by polymerase chain reaction. Br J Dermatol . 2001;144(3):614–8.
9) Wong SS, Poon RW,Chau S et al. Development of conventional and real-time quantitative PCR assays for diagnosis and monitoring of scabies. J Clin Microbiol. 2015;53(7):2095–102.
10) Angelone-Alasaad S,Molinar Min A,Pasquetti M et al.Universal conventional and real-time PCR diagnosis tools for Sarcoptes scabiei.Parasit Vectors.2015;8:587[published correction Parasit Vectors. 2015;8:622]
11) Delaunay P, Hérissé AL,Hasseine L et al. Scabies polymerase chain reaction with standardized dry swab sampling: an easy tool for cluster diagnosis of human scabies. Br J Dermatol.2020;182(1):197-201.
12) Fraser TA,Carver S,Martin AM et al. A Sarcoptes scabiei specific isothermal amplification assay for detection of this important ectoparasite of wombats and other animals.PeerJ.2018;6:e5291.
13) Engelman D, Yoshizumi J, Hay RJ et al. The 2020 International Alliance for the Control of Scabies Consensus Criteria for the Diagnosis of Scabies. Br J Dermatol. 2020 Nov;183(5):808-820. doi: 10.1111/bjd.18943. Epub 2020 Mar 29. PMID: 32034956; PMCID: PMC7687112.
14) Anderson KL, Strowd LC. Epidemiology, diagnosis, and treatment of scabies in a dermatology office. J Am Board Fam Med. 2017;30:78–84. [PubMed] [Google Scholar]
15) Control strategies for scabies. Engelman D, Steer AC. Trop Med Infect Dis. 2018;3:98. [PMC free article] [PubMed] [Google Scholar]
16) Consensus criteria for the diagnosis of scabies: a Delphi study of international experts. Engelman D, Fuller LC, Steer AC for the International Alliance for the Control of Scabies Delphi panel. PLoS Negl Trop Dis. 2018;12:0. [PMC free article] [PubMed] [Google Scholar]
17) Thomas C, Coates SJ, Engelman D, Chosidow O, Chang AY. Ectoparasites: scabies. J Am Acad Dermatol. 2020;82:533–548. [PubMed] [Google Scholar]
18) Cohen PR. Scabies masquerading as bullous pemphigoid: scabies surrepticius. Clin Cosmet Investig Dermatol. 2017;10:317–324. [PMC free article] [PubMed] [Google Scholar]
19) Cohen PR. Concurrent scabies incognito and crusted scabies with scalp lesions masquerading as erythrodermic dermatitis: scabies surrepticius in an immunosuppressed nonagenarian with hyperkeratotic plaques on her head. https://www.ncbi.nlm.nih.gov/pubmed/30681808. J Drugs Dermatol. 2019;18:105. [PubMed] [Google Scholar]
20) Werbel T, Hinds BR, Cohen PR. Scabies presenting as cutaneous nodules or malar erythema: reports of patients with scabies surrepticius masquerading as prurigo nodularis or systemic lupus erythematosus. https://www.ncbi.nlm.nih.gov/pubmed/30677831 Dermatol Online J. 2018;24:13030. [PubMed] [Google Scholar]
21) Stiff KM, Cohen PR. Scabies surrepticius: scabies masquerading as pityriasis rosea. Cureus. 2017;9:0. [PMC free article] [PubMed] [Google Scholar]
22) Werbel T, Hinds BR, Cohen PR. Scabies presenting as cutaneous nodules or malar erythema: reports of patients with scabies surrepticius masquerading as prurigo nodularis or systemic lupus erythematosus. Dermatol Online J. 2018 Sep 15;24(9) [PubMed]
23) Herwanto, Nanny & Mappamasing, Hasnikmah & Widiantari, Septiana & Indranarum, et al. (2019). Scabies incognito. Dermatology Reports. 11. 10.4081/dr.2019.8083
24) S Karaca, H Güder. Dermatolojide Antioksidan Sistem/Antioxidant System in Dermatology. Turk Dermatoloji Dergisi 3 (2), 32
25) Blinić, I., Janković, A., Jovanović, D., Ljubenović, M. Crusted (Norwegian) scabies following systemic and topical corticosteroid therapy. Journal of Korean Medical Science. 2010; 25, 188–191.doi:10.3346/jkms.2010.25.1.188.
26) Anderson KL, Strowd LC. Epidemiology, Diagnosis, and Treatment of Scabies in a Dermatology Office. J Am Board Fam Med. 2017 Jan 02;30(1):78-84. [PubMed]
27) Dressler C, Rosumeck S, Sunderkötter C, Werner RN, Nast A. The Treatment of Scabies. Dtsch Arztebl Int. 2016 Nov 14;113(45):757-762. [PMC free article] [PubMed]
Scabies: an ancient global disease with a need for new therapies. Thomas J, Peterson GM, Walton SF, Carson CF, Naunton M, Baby KE. BMC Infect Dis. 2015;15:250. [PMC free article] [PubMed] [Google Scholar]

  • Share

Leave a Reply

Your email address will not be published. Required fields are marked *