Crusted scabies in systemic lupus erythematosus: More than a mite contagious case

  • Eva Lydiawati | evalydiawati@gmail.com Department of Dermatology and Venereology, Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya, Indonesia.
  • Indropo Agusni Department of Dermatology and Venereology, Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya, Indonesia.
  • Dwi Murtiastutik Department of Dermatology and Venereology, Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya, Indonesia.
  • Evy Ervianti Department of Dermatology and Venereology, Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya, Indonesia.
  • S. Sawitri Department of Dermatology and Venereology, Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya, Indonesia.
  • Trisiswati Indranarum Department of Dermatology and Venereology, Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya, Indonesia.
  • Septiana Widyantari Department of Dermatology and Venereology, Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya, Indonesia.
  • Hasnikmah Mappamasing Department of Dermatology and Venereology, Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya, Indonesia.

Abstract

Crusted scabies is characterized by hyperkeratosis and crusting of the skin due to the profuse proliferation of mites. It is resulting from an altered host response to the infestation. There are some various cutaneous and immunologic diseases that have been described to predispose to crusted scabies. It is typically associated with congenital and acquired immunocompromised conditions including human immunodeficiency virus (HIV), hematologic malignancy, and connective tissue diseases, including systemic lupus erythematosus (SLE). Adults with crusted scabies may lack the characteristic rash or itching. Sites of presentation have been reported on the scalp, face, neck, extremities, trunk, hands, and feet. The severe condition of SLE and super infection of scabies in the immunocompromised state highlight the need for appropriate care to avoid further morbidity. This case report aims to describe the characteristic of skin lesions and clinical aspects of crusted scabies in SLE. A 28-year-old man was diagnosed with crusted scabies who was treated more intensely with permethrin 5% cream that was combined with 2-4 ointment. There was clinical improvement and no side effect found during this study.

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Published
2019-04-01
Keywords:
crusted scabies, systemic lupus erythematosus, Sarcoptes scabiei
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How to Cite
Lydiawati, E., Agusni, I., Murtiastutik, D., Ervianti, E., Sawitri, S., Indranarum, T., Widyantari, S., & Mappamasing, H. (2019). Crusted scabies in systemic lupus erythematosus: More than a mite contagious case. Dermatology Reports, 11(s1). https://doi.org/10.4081/dr.2019.8085