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eISSN: 2084-9893
ISSN: 0033-2526
Dermatology Review/Przegląd Dermatologiczny
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SCImago Journal & Country Rank
6/2019
vol. 106
 
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abstract:
Case report

Crusted scabies in a patient with systemic disorders – evaluation of ivermectin treatment results

Aleksandra Kosmala
1
,
Marta Szymoniak-Lipska
2
,
Magdalena Jałowska
2
,
Marta Dobrzyńska
2
,
Monika Bowszyc-Dmochowska
2
,
Zygmunt Adamski
2
,
Ryszard Żaba
1

1.
Department of Dermatology and Venereology, Poznan University of Medical Sciences, Poznan, Poland/Zakład Dermatologii i Wenerologii, Uniwersytet Medyczny, Poznań, Polska
2.
Department of Dermatology, Poznan University of Medical Sciences, Poznan, Poland/Katedra i Klinika Dermatologii, Uniwersytet Medyczny, Poznań, Polska
Dermatol Rev/Przegl Dermatol 2019, 106, 671–679
Online publish date: 2020/02/07
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Scabies is a widespread, contagious parasitic disease that affects all socioeconomic groups and was added to the list of WHO Neglected Tropical Diseases. Recent studies indicate misdiagnosis in 45% of patients with scabies. Crusted scabies is a rare, acute and highly contagious form of scabies infestation, mainly observed in patients with immunosuppression or mental illness. Standard therapy for crusted scabies is a combination of a topical scabicide and oral ivermectin. The aim of the study was to present the case of a 19-year-old male patient with Down syndrome and systemic disorders, who was diagnosed with crusted scabies and successfully treated with ivermectin. We suggest that ivermectin is an effective and safe therapy for crusted scabies treatment. The presented case shows the desirability of ivermectin registration for crusted scabies in Poland.
keywords:

ivermectin, Down syndrome, itch, scabies



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