Author:
Skayem Charbel,Majda Askour,Gary Charlotte,Hemery Francois,Mahé Emmanuel,Caux Frederic,Dupin Nicolas,Senet Patricia,Greder-Belan Alix,Hillion Brigitte,Meni Cecile,Saiag Philippe,Bellaud Guillaume,Bleibtreu Alexandre,Lariven Sylvie,Bollens Diane,Descamps Vincent,Molina Jean-Michel,Bouchaud Olivier,Vittecoq Daniel,Do-Pham Gia,Foulet Francoise,Botterel Francoise,Chosidow Olivier,Bernigaud Charlotte
Abstract
The aim of this multi-centre French retrospective study was to identify severe, i.e. crusted and profuse, scabies patients. Records were retrieved from 22 Dermatology or Infectious Diseases departments in the Ile-de-France from January 2009 to January 2015 to characterize epidemiology, demography, diagnosis, contributing factors, treatment features, and outcomes in severe scabies. A total of 95 inpatients (57 crusted and 38 profuse) were included. A higher number of cases was observed among elderly patients (>75 years), mostly living in institutions. Thirteen patients (13.6%) reported a history of previously treated scabies. Sixty-three patients (66.3%) had been seen by a previous practitioner for the current episode (up to 8 previous visits). Initial misdiagnosis (e.g. eczema, prurigo, drug-related eruptions, psoriasis) was documented in 41 patients (43.1%). Fifty-eight patients (61%) had already received 1 or more previous treatments for their current episode. Forty percent received corticosteroids or acitretin for an initial diagnosis of eczema or psoriasis. Median time from the onset of symptoms to the diagnosis of severe scabies was 3 months (range 0.3–22). Itch was present in all patients at diagnosis. Most patients (n=84, 88.4%) had comorbidities. Diagnostic and therapeutic approaches varied. Complications occurred in 11.5% of cases. To date, there is no consensus for diagnosis and treatment, and future standardization of is required for optimal management.
Publisher
Medical Journals Sweden AB
Subject
Dermatology,General Medicine
Reference146 articles.
1. Thomas C, Coates SJ, Engelman D, Chosidow O, Chang AY. Ectoparasites: scabies. J Am Acad Dermatol 2020; 82: 533-548.
2. https://doi.org/10.1016/j.jaad.2019.05.109
3. Bernigaud C, Monsel G, Delaunay P, Chosidow O. Arthropods. In: C. Griffiths, J. Barker, T. Bleiker, R. Chalmers, D. Creamer, editors. Rook's textbook of dermatology. Wiley, 2022, 10th edn.
4. 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: 479-491.
5. https://doi.org/10.3390/idr14030051
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献