Open AccessCrusted Scabies Initially Considered as Bullous Pemphigoid and Exacerbated by Steroid Use
Author(s) -
Watari Takashi,
Shimizu Taro,
Tokuda Yasuharu
Publication year - 2015
Publication title -
journal of general and family medicine
Language(s) - English
Resource type - Journals
ISSN - 2189-7948
DOI - 10.14442/jgfm.16.3_208
Subject(s) - bullous pemphigoid , medicine , dermatology , scabies , pemphigus , pemphigoid , immunology , antibody
Crusted or Norwegian scabies is characterized by erythematous patches with diffuse hyperkeratotic plaques over palmar and plantar regions. It is commonly seen in patients with immunocompromised states or in the elderly who are bed‐ridden. We report a case of crusted scabies that clinically mimicked bullous pemphigoid. Steroid therapy as treatment of presumptive bullous pemphigoid led to a worsening of crusted scabies and its subsequent outbreak involving patients nearby and staff in our hospital.