Erythrodermic Manifestation due to Hyperinfestation of Scabies

Abstract

Background: Scabies is a highly contagious skin disease with various skin clinical presentations. In consideration of its clinical presentations, proper early-onset diagnosis of scabies may not be met, leading to mistreatment and more severe scabies, Norwegian (crusted) scabies. Purpose: To report a case of Norwegian scabies misdiagnosed as eczema in a previously immunocompetent patient. Case: A 32-year-old man was admitted with generalized erythematous skin rash, pruritic, and hyperkeratotic scales of the body. He was previously diagnosed with eczema two months ago and was prescribed both topical and systemic steroid. Skin scales worsened and kept expanding after the treatment. There was a family history of nocturnal itch. Dermoscopic and microscopic examination from skin lesion and scraping with potassium hydroxide revealed the signs of scabies infection. Discussion: Norwegian scabies could be prevented by the correct diagnosis at the early-onset of the disease. Misdiagnosis due to various skin clinical presentations, leading to mistreatment of the infection. In this case, family history plays a role that could elucidate the presence of scabies infection. Conclusion: A correct diagnosis and treatment for the early-phase scabies-infected patient will be beneficial for the patient to prevent hyperinfestation of scabies mites. Specific examination for scabies decreases the possibility of misdiagnosis.

Formulation and Activity Test of Foot Spray from Sungkai Leaf Extract (PeronemacanescensJack) as an Antibacterial that Causes Foot Odor

“…Bromhidrosis is a condition where a person's body odor is More excessive due to the secretion of apocrine sweat glands located in the armpits, scalp, soles of the feet, between the fingers and genitals. In this condition, the skin becomes wet and sticky and produces an unpleasant odor as a result of degradation of apocrine gland products by skin microbes (2). Some bacteria that cause infections that play a role in the process of rotting the apocrine glands resulting in smelly feet include Staphylococcus epidermidis, Corynebacterium acne, Pseudomonas aeruginosa, Staphylococcus aureus and Streptococcus phyogenesis (1).…”

Incidence of Dermatophytosis Based on Age and Gender at The Regional General Hospital in Gianyar District Hospitals

“…Dermatophytosis is a superficial fungi infection that infects keratinized tissues in the stratum corneum, such as skin, hair, and nails. The cause of dermatophytosis is dermatophyte, which degrades keratin as a source of nutrition without attacking the underlying nonkeratinized tissue (1). The three genera of Dermatophytes-Trichophyton (skin, nails, and hair), Epidermophyton (skin and nails), and Microsporum (skin and hair)-are included in the class of Deuteromycota (Fungi imperfecti) (2,3).…”

Laporan Kasus Tinea Cruris et Corporis Menahun pada Pasien Usia 60 Tahun di RS Martha Friska Multatuli Medan

“…Pada tinea korporis yang menahun, dapat terjadi bersama dengan tinea cruris yang disebut tinea corporis et cruris atau sebaliknya tinea cruris et corporis. [2][3] [6] Tinea cruris et corporis adalah penyakit dengan insidensi tertinggi dari seluruh penyakit dermatofita yang diteliti di Indonesia. Menurut penelitian yang dilakukan oleh Taufiq di RSUD.…”

“…Bila penyakit ini terjadi menahun, dapat berupa bercak hitam disertai sedikit sisik. [2][5][6] [7] Diagnosa banding pada kasus ini adalah Psoriasis, Pritirasis rosea, dan Eritrasma. [2] Pada pemeriksaan mikologi dengan sampel kerokan kulit yang ditetesi KOH 10% dan ditetesi tinta Parker, lalu diperiksakan dibawah mikroskop dengan perbesaran 40x akan didapati hifa sejati dan spora.…”

“…[2][5][6] [7] Diagnosa banding pada kasus ini adalah Psoriasis, Pritirasis rosea, dan Eritrasma. [2] Pada pemeriksaan mikologi dengan sampel kerokan kulit yang ditetesi KOH 10% dan ditetesi tinta Parker, lalu diperiksakan dibawah mikroskop dengan perbesaran 40x akan didapati hifa sejati dan spora. [2][5] [6] Pengobatan pada penyakit ini adapat diberikan obat oles Ketokonazol topikal (krim 2%, sampo 2%, gel 2%) digunakan 1-2x per hari.…”