Chen HJ, Lu CY, Huang GM, Tang LL. Norwegian scabies presenting as erythroderma: A case report. World J Clin Cases 2024; 12(21): 4802-4806 [PMID: 39070813 DOI: 10.12998/wjcc.v12.i21.4802]
Corresponding Author of This Article
Lu-Lu Tang, MMed, Doctor, Department of Dermatology and Venereology, The Second Affiliated Hospital of Guangxi Medical University, No. 166 Daxuedong Road, Nanning 530007, Guangxi Zhuang Autonomous Region, China. tanglulu1@yeah.net
Research Domain of This Article
Dermatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Hai-Ju Chen, Chun-Ying Lu, Guo-Mei Huang, Lu-Lu Tang, Department of Dermatology and Venereology, The Second Affiliated Hospital of Guangxi Medical University, Nanning 530007, Guangxi Zhuang Autonomous Region, China
Co-first authors: Hai-Ju Chen and Chun-Ying Lu.
Author contributions: Chen HJ and Lu CY contributed equally to this work and are co-first authors; Chen HJ and Lu CY designed the research study; Chen HJ, Lu CY, Huang GM and Tang LL performed the research; Chen HJ and Lu CY analyzed the data; Chen HJ and Lu CY analyzed the data and wrote the manuscript.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Lu-Lu Tang, MMed, Doctor, Department of Dermatology and Venereology, The Second Affiliated Hospital of Guangxi Medical University, No. 166 Daxuedong Road, Nanning 530007, Guangxi Zhuang Autonomous Region, China. tanglulu1@yeah.net
Received: April 24, 2024 Revised: June 6, 2024 Accepted: June 17, 2024 Published online: July 26, 2024 Processing time: 68 Days and 3 Hours
Abstract
BACKGROUND
Norwegian scabies (NS) is a serious parasitic skin condition. Although NS is one of the causes of erythroderma, it is frequently overlooked. Therefore, it is essential to raise awareness regarding NS presenting as erythroderma.
CASE SUMMARY
We present a case of NS that persisted for more than 3 years. After following nonstandard treatment, the patient’s rash worsened and gradually progressed into erythroderma. Finally, NS was diagnosed by skin microscopy and pathology.
CONCLUSION
When patients with pruritic dermatosis have high-risk factors such as prolonged bed rest and immunodeficiency, clinicians need to enhance their awareness of NS and ensure prompt diagnosis and treatment.
Core Tip: In this study, we have described an elderly patient with Norwegian scabies for over 3 years. The patient developed multiple erythema, papules, and scales throughout the body. After repeated irregular treatments, his condition worsened for 2 months, and the rash advanced to diffuse infiltrating dark erythema with keratinized papules, pustules, and thick scales.
