Crusted (Norwegian) scabies induced by use of topical corticosteroids and treated successfully with ivermectin.

Marlière, V; Roul, S; Labrèze, C; Taïeb, A · J Pediatr · 1999

case_report · Level V

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Abstract

Crusted scabies is mainly observed in children with immunosuppression or mental illness. Treatment is very difficult, and relapse is frequent after topical scabicidal therapy. We describe a case of crusted scabies, induced by long-term application of a topical corticosteroid, relapsing after topical treatment and dramatically improved by ivermectin. We suggest that ivermectin is a safe and effective alternative therapy for the treatment of severe Sarcoptes scabiei infestation in children unresponsive to conventional treatment.

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