Scabies Masquerading as Chronic Bullous Disease of Childhood; A Case Report
Keywords:
Scabies, Chronic bullous disease of childhood, Sarcoptes scabiei, Blistering disorders, MisdiagnosisAbstract
Scabies is a common parasitic infestation caused by the Sarcoptes scabiei mite, typically presenting with pruritic papules and burrows. Chronic Bullous Disease of Childhood (CBDC) is an autoimmune blistering disease characterized by tense bullae and erosions. Here, we present a case of scabies masquerading as CBDC in an 8-year-old child. The misdiagnosis led to delayed appropriate management and highlights the significance of considering scabies in differential diagnosis of blistering dermatoses, particularly in endemic regions. Keywords: Scabies, Chronic Bullous Disease of Childhood, Sarcoptes scabiei, blistering disorders, misdiagnosisReferences
Marzano AV, Cugno M, Delfino C, Trevisan V. "Linear IgA bullous dermatosis: need for an agreement on diagnostic criteria." Dermatology. 2014;228(3):173-7.
Engelman D, Cantey PT, Marks M. The public health control of scabies: priorities for research and action. Lancet. 2019;393(10185):31-3.
Karthick RS, Subramanian S, Ramalingam S. Clinical profile of children with scabies. Indian J Pediatr. 2020;87(6):448-52.
Kneiber D, Tan J, Yosipovitch G. Itch in special populations: management challenges in pediatric dermatology. J Allerg Clin Immunol: In Practice. 2020;8(9):2851-61.
Izri A, Akhoundi M. An Atypical Presentation of Scabies. Am J Trop Med Hyg. 2021;105(6):1442.
Maan MA, Maan MS, Sohail AM, Arif M. Bullous scabies: a case report and review of the literature. BMC Res Notes. 2020;8:254.
Zubair A, Tariq H, Ali N, Rasheed T. Bullous scabies presenting as bullous pemphigoid - a case report. J Pak Assoc Dermatol. 2019;29:250-2.
Ansarin H, Jalali MH, Mazloomi S, Arabshahi RS, Setarehshenas R. Scabies presenting with bullous pemphigoid like lesions. Dermatol online J. 2006;12:19.
Ostlere L, Harris D, Rustin M. Scabies associated with a bullous pemphigoid-like eruption. Br J Dermatol. 1993;128(2):217–9.