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Review
. 2024 Jan 17;50(1):7.
doi: 10.1186/s13052-023-01547-z.

The hidden scabies: a rare case of atypical Norwegian scabies, case report and literature review

Angela Mauro  1 , Cristiana Colonna  2 , Silvia Taranto  3 , Vittoria Garella  3 , Francesca Castelletti  3 , Laura Giordano  4 , Nicola Adriano Monzani  2 , Luca Bernardo  4
Affiliations
Review

The hidden scabies: a rare case of atypical Norwegian scabies, case report and literature review

Angela Mauro et al. Ital J Pediatr. .

Abstract

Background: Norwegian scabies is a rare dermatological manifestation that usually affects the most fragile populations, such as elderly and immunocompromised patients, and its diagnosis is quite complex, due to its low prevalence in the general population and because of a broad spectrum manifestation.

Case presentation: Here we describe a rare case of Norwegian scabies that was previously misdiagnosed in a sixteen year old patient affected by Down syndrome and we conducted a non-systematic literature review about this topic. Lesions were atypical, pruritic and associated with periodic desquamation of the palms and soles and after a series of specialist evaluations, she finally underwent topical treatment with complete remission.

Conclusion: It is therefore crucial to take in consideration the relation between Down syndrome and community acquired crusted scabies, to enable preventative measures, early detection, and proper treatment.

Keywords: Children; Down syndrome; Immunodepression; Norwegian scabies; Scabies.

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Conflict of interest statement

The authors declare that they have no competing interest.

Figures

Fig. 1
Fig. 1
Desquamation of the soles of f palms
Fig. 2
Fig. 2
Desquamation of the soles of feet
Fig. 3
Fig. 3
Desquamation of the soles of feet
See this image and copyright information in PMC

References

    1. Zhang W, Zhang Y, Luo L, Huang W, Shen X, Dong X, et al. Trends in prevalence and incidence of scabies from 1990 to 2017: findings from the global Burden of Disease study 2017. Emerg Microbes Infect. 2020;9:813–6. doi: 10.1080/22221751.2020.1754136. - DOI - PMC - PubMed
    1. Richards RN. Scabies: diagnostic and therapeutic update. J Cutan Med Surg. 2021;25:95–101. doi: 10.1177/1203475420960446. - DOI - PubMed
    1. Chandler DJ, Fuller LC. A review of Scabies: an Infestation more than skin deep. Dermatology. 2019;235:79–90. doi: 10.1159/000495290. - DOI - PubMed
    1. Niode NJ, Adji A, Gazpers S, Kandou RT, Pandaleke H, Trisnowati DM, et al. Crusted Scabies, a neglected Tropical Disease: Case Series and Literature Review. Infect Dis Rep. 2022;14:479–91. doi: 10.3390/idr14030051. - DOI - PMC - PubMed
    1. Guldbakke KK, Khachemoune A. Crusted scabies: a clinical review. J Drugs Dermatol. 2006;5:221–7. - PubMed