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Case Reports
. 2009 Jan 13;2(1):8-12.
doi: 10.1159/000272027.

An Adolescent Patient with Scabies Mimicking Gottron Papules

Eiji Yoshinaga  1 , Naoki Oiso, Shigeru Kawara, Akira Kawada
Affiliations
Case Reports

An Adolescent Patient with Scabies Mimicking Gottron Papules

Eiji Yoshinaga et al. Case Rep Dermatol. .

Abstract

Atypical features of scabies occur in infants and children and patients with prolonged use of corticosteroids or immunosuppression. We report a non-immunosuppressed 15-year-old female case of scabies showing scaly reddish papules over the proximal interphalangeal joints mimicking Gottron papules in classic dermatomyositis. Periungal erythema was also seen. Four months' topical corticosteroids from previous clinics had been used. Dermoscopic findings were consistent with typical pictures of scabies. Scraping of hand crusts demonstrated scabies mites and ova. Skin lesions of the patient were cured with oral ivermectin and topical 10% crotamiton. This case suggests that a lesion resembling Gottron papules may be added to the panel of unusual presentations of scabies.

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Figures

Fig. 1
Fig. 1
Scaly reddish papules over the proximal interphalangeal joints resembling Gottron papules. Periungal erythema without nail fold telangiectasia was seen.
Fig. 2
Fig. 2
a Dermoscopic findings of multiple scabies burrows and mites. b Scabies mites and ova from scraping of hand crusts.
See this image and copyright information in PMC

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