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Case Reports
. 2011 Jan-Feb;15(1):55-7.
doi: 10.2310/7750.2011.10040.

Bullous scabies simulating pemphigoid

T Roxana Stan  1 , Stefano Piaserico, Matteo Bordignon, Roberto Salmaso, Edoardo Zattra, Mauro Alaibac
Affiliations
Case Reports

Bullous scabies simulating pemphigoid

T Roxana Stan et al. J Cutan Med Surg. 2011 Jan-Feb.

Abstract

Background: Scabies is a contagious infestation affecting subjects of all ages, races, and social conditions.

Objective: We report a case of a 79-year-old man who developed a bullous pemphigoid-like eruption. He presented to our unit 4 months after the onset of symptoms. An autoimmune bullous disease was suspected. Direct immunofluorescence on a skin specimen and anti-desmoglein 1, anti-desmoglein 3, and anti-bullous pemphigoid antigen 180 were negative. Surprisingly, the histology of a skin lesion demonstrated the presence of scabies, which was successfully treated with benzyl benzoate 20%.

Conclusion: The diagnosis of bullous scabies should be considered for any bullous eruptions accompanied by papules and itching resistant to steroid treatment and with negative immunopathologic findings.

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