• Nenhum resultado encontrado

Crusted scabies in a patient with lepromatousleprosy INFECTIOUS DISEASES

N/A
N/A
Protected

Academic year: 2022

Share "Crusted scabies in a patient with lepromatousleprosy INFECTIOUS DISEASES"

Copied!
2
0
0
Mostrar mais ( páginas)

Texto

(1)

brazjinfectdis2016;20(4):399–400

w w w . e l s e v i e r . c o m / l o c a t e / b j i d

The Brazilian Journal of

INFECTIOUS DISEASES

Clinical image

Crusted scabies in a patient with lepromatous leprosy

Alexandra Peres Paim Pedra e Cal

a,b,

, Cassio Porto Ferreira

a

, José Augusto da Costa Nery

a

aInstitutoOswaldoCruz(FIOCRUZ),AmbulatórioSouzaAraújo,RiodeJaneiro,RJ,Brazil

bPoliclínicaGeraldoRiodeJaneiro,RiodeJaneiro,RJ,Brazil

a r t i c l e i n f o

Articlehistory:

Received12April2016 Accepted18April2016 Availableonline13May2016

Crusted scabies (CS) is a very contagious rare skin infes- tation caused by Sarcoptes scabiei var hominis, an obligate humanparasite, transmittedbyskin-to-skincontact.1 Clin- ically, it can present with psoriasiform skin lesions in acral distribution with variable whitish scaling. It usually involves the subunguealarea with nail hyperkeratosisand dystrophy.2 A56-year-old man, alcoholic,presentedwith a seven-month history ofpruritus (withnocturnal exacerba- tion), weight loss and muscle weakness. The patient is a knowncaseoflepromatousleprosy(LL),diagnosed22years agowithirregulartreatment,neurologicaldamageanddefor- mities.Onexamination,hyperkeratosiswithcrustedlesions on hands and feet with severe nail dystrophy. We also noted anerythematous scaling eruption in the face, neck, scalp, trunk,and arms(Fig. 1). Laboratory resultsincluded

Correspondingauthor.

E-mailaddress:ale.peres.paim@gmail.com(A.P.P.PedraeCal).

a negative HIV and HTLV-1 tests, skin scraping revealed the miteandskinsmearshowed abacteriologicalindexof 6+.Thepatientstartedmultidrugtherapyformultibacillary leprosyandoralantihistamines,keratolytics,topicalperme- thrin (5%), and repeateddoses ofivermectin(200␮g/kg)on the 1st, 2nd, 8th, 9th, and 15th day. CS is a highly con- tagious rare variant of scabies and is frequently found in immunocompromisedpatients,mentallyretarded,orphysi- callyincapacitatedindividuals.3Infestedindividualsandtheir close contactsshouldbe treatedatthe same time, evenif asymptomatic.1 There are few reported casesshowing the associationbetweenCSandLL.InBrazil,duetothehighnum- berofleprosy,physiciansshouldbeawareofthepossibilityof CSinleprosypatientswhodevelopwidespreadhyperkeratotic eruptions.

http://dx.doi.org/10.1016/j.bjid.2016.04.001

1413-8670/©2016ElsevierEditoraLtda.ThisisanopenaccessarticleundertheCCBY-NC-NDlicense(http://creativecommons.org/

licenses/by-nc-nd/4.0/).

(2)

400

braz j infect dis.2016;20(4):399–400

Fig.1–Clinicalmanifestationsofcrustedscabiesinfection(A)–(C)Hyperkeratoticdermatosiswithanacraldistributionand naildystrophy;(D)disseminatedexcoriations,crustsandscalingintheback;(E)and(F)leoninefacies,pruritusandscaling, alsocrustsintheear;(G)microscopicsectionofS.scabieimiteshowingsixlegsandthebiteapparatus.

Authors’ contributions

AlexandraPeresPaimPedraeCal,CassioPortoFerreiraand JoséAugustodaCostaNerycontributedtoclinicalcareand paperpreparation.

Conflicts of interest

Theauthorsdeclarenoconflictsofinterest.

references

1.ChosidowO.Scabiesandpediculosis.Lancet.2000;355:819–26.

2.HenggeUR,CurrieBJ,JägerG,LupiO,SchwartzRA.Scabies:a ubiquitousneglectedskindisease.Lancet.2006;6:769–79.

3.BarbosaAAJ,SilvaTM,SantosMI,etal.Coexistenceofan unusualformofscabiesandlepromatousleprosy.Acase report.PatholResPract.1996;192:88–90.

Referências

Documentos relacionados

There is little information in the literature about the association of retinal vascular disease and the presence of hemoglobin AC, being this information restricted to a few

Órgão Bem Adquirido Nome do Fornecedor CNPJ / CPF Quantidade Unid Preço Unitário Preço Total.. SECRETARIA MUNICIPAL DE SAÚDE E

In this study, we report the case of a patient with crusted scabies with florid clinical manifestations and chronic liver disease due to hepatitis B and delta virus

Crusted scabies (previously known as Norwegian scabies) is a rare form, very contagious and transmitted by direct contact with the skin. Despite being readily treatable, a

In ragione di queste evidenze, il BIM - come richiesto dalla disciplina comunitaria - consente di rispondere in maniera assolutamente adeguata alla necessità di innovazione dell’intera

Parâmetros de cela unitária, volume Ǻ3, densidade, coordenadas atômicas e fator de ocupação obtidos pelo refinamento de Rietveld para Zn025 C2,5X calcinada a 800 °C por

The results showed that the higher effi ciency in light energy uptake, paired with better photochemical performance and better CO 2 fi xation in plants under direct sunlight

Expressión de un Nuevo Derecho Global.. Positivação

Cryptococcosis is considered one of the main kinds of systemic mycosis in AIDS, being the second most common infection of central nervous system in these patients. The cutaneous form

Como se deve tomar o banho f Depois de des- pido, é bom ficar em toilette de banho alguns minu- tos sobre a areia da praia ; durante este tempo, o ar ambiente acha-se em contacto

Hastalarda sistemlerin tutulumu sonucu meydana gelen fonksiyonel bo- zukluklara bağlı anestezi uygulaması ile ilgili birçok potansiyel sorunlar yaşana- bilmektedir.. Bu nedenle

After four days of hospitalization, having been treated exclusively with supportive measures, including oxygen therapy, the patient showed partial improvement of symptoms, and a

Thus, this study aimed to identify if exposure to neuropsychology teaching was being provided in undergraduate courses in speech-language pathology in Brazil, using

Figura 32 – Entrada de Dados para Fechamento do mês Execução do Orçam ento - Entrada de Dados da Decisões da Área de Finanças. Decisões sobre as formas de financiamentos do

O resultado desta análise demonstra que a privação de alimento aumentou o valor reforçador para a comida, independentemente de a comida ser carne humana, onde

É sempre bom chegar ao fim de um trabalho e ter a sensação de que foi missão cumprida, ou seja, os objectivos preconizados foram cumpridos. Como foi dito na introdução, que o

[10] reported a case of MGUS in a patient with acromegaly in which the se- rum IgG level, as well as the GH and IGF-1 levels, decreased after the removal of the GH-secreting

Considering the unusual clinical presentation which makes the diagnosis difficult, as well as the fact that atypical forms of pyoderma gangrenosum can be the first sign of

Professor & HOD, Department of Dermatology, Vydehi Institute of Medical Sciences & Research Centre, Bangalore, India. NAME ADDRESS EMAIL ID OF THE

In recent years, there have been several measles outbreaks, not only in children but also in adults, with serious and occasionally fatal complications.. Many countries are in the

1,2 HIV-related cardiomyopathy may appear as myocarditis, dilated cardiomyopathy, or isolated left or right ventricular dysfunction.. 1,2 Although initially somewhat prevalent,

Disseminated Cutaneous Leishmaniasis is seen in a small percentage of patients with cutaneous leishmaniasis in all endemic areas of Ceará State, northeastern Brazil.. This patient

Tuberous sclerosis (TS) is a multisystem neurocu- taneous disease, which is characterised by the for- mation of benign tumours or hamartomas in multiple organ systems, including

Cases of patients in Phnom Penh, Cambodia, with histoplasmosis, cryptococcal meningitis, crusted scabies, cerebral lesions and human immunodeficiency virus and of patients in