Dr.HARSH VARDHAN SINGH, S20121
INTRODUCTION: CRUSTED SCABIES IS A RARE & SEVERE VARIANT OF SCABIES CHARACTERISED BY HYPERKERATOSIS & CRUSTING OF SKIN DUE TO PROFUSE PROLIFERATION OF MITES AND ALTERED HOST RESPONSE TO INFESTATION. IT IS USUALLY ASSOCIATED WITH SEVERE MALNUTRITION, IMMUNE DEFICIENT STATE, MENTAL RETARDATION OR DIABETES MELLITUS.
CASE: A 10 YEAR OLD SEVERELY MALNOURISHED BOY PRESENTED IN OUR OPD WITH MULTIPLE CRUSTED LESIONS INVOLVING BOTH EYES, PALMS, SOLES,ELBOWS, NECK & SHOULDER. ON OCULAR EXAMINATION THERE WERE MULTIPLE MACULAR PAPULAR EROSIONS WITH SEVERE HYPERKERATOTIC CRUSTING LESIONS INVOLVING BOTH UPPER & LOWER LIDS WITH ASSOCIATED MADAROSIS (OU). A PIGMENTED CONJUNCTIVAL LESION WAS NOTED IN RIGHT EYE, PART OF WHICH WAS SENT FOR MICROBIOLOGICAL STUDY. THE MICROSCOPIC SLIDE SHOWED TYPICAL PICTURE OF SARCOPTES SCABEIS.
RESULT: THE PATIENT WAS MANAGED VIGOROUSLY ALONG WITH DERMATOLOGICAL CONSULTANCY. HE RECOVERED DRASTICALLY WITHIN FEW WEEKS & REPEAT MICROBIOLOGY REPORT WAS NEGATIVE.
PRESENTATION NOT RECEIVED FROM THE AUTHOR.
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