Dermoscopy, reflectance confocal microscopy, and fluorescence staining for the noninvasive diagnosis of crusted scabies | Zendy

Zhang Liwen | Zendy; Li Conghui | Zendy; Shen Xue | Zendy; Fu Lixin | Zendy; Chen Tao | Zendy

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Dermoscopy, reflectance confocal microscopy, and fluorescence staining for the noninvasive diagnosis of crusted scabies

Author(s) -

Zhang Liwen,

Li Conghui,

Shen Xue,

Fu Lixin,

Chen Tao

Publication year - 2022

Publication title -

skin research and technology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.521

H-Index - 69

eISSN - 1600-0846

pISSN - 0909-752X

DOI - 10.1111/srt.13132

Subject(s) - dermatology , pathology , staining , burrow , fluorescence , trunk , medicine , confocal microscopy , rash , biology , optics , paleontology , ecology , physics , microbiology and biotechnology

A 91‐year‐old woman presented with a 3‐month history of [extensive](javascript:;) cutaneous lesions with intense pruritus. She lived in a nursing home for a long time. Physical examination revealed a generalized erythematous and scaly rash with intense hyperkeratotic lesions on the neck, trunk, and limbs. Dermoscopy showed a sinuous burrow filled with white dot eggs and feces on the hand with a mite at the end of the burrow. Reflectance confocal microscopy (RCM) manifested a sinuous burrow and a mite. The presence of mites was confirmed with fluorescence staining. The patient was diagnosed with crusted scabies and started treatment with 10% sulfur ointment. Her lesions and pruritus were resolved after 2 weeks.

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