A Case of Bullous Scabies Mimicking Epidermolysis Bullosa Aquisita.
- Author:
Ji Hyun HA
1
;
Moon Jung CHOI
;
Tae Yoon KIM
;
Soo Chan KIM
;
Jun Young LEE
Author Information
1. Department of Dermatology, College of Medicine, The Catholic University of Korea. UBJDER@cmc.cuk.ac.kr
- Publication Type:Case Report
- Keywords:
Bullous scabies;
EBA;
BP
- MeSH:
Aged, 80 and over;
Epidermolysis Bullosa*;
Fluorescent Antibody Technique, Direct;
Humans;
Immunoglobulin G;
Male;
Mites;
Scabies*;
Skin;
Skin Tests;
Transcutaneous Electric Nerve Stimulation
- From:Korean Journal of Dermatology
2003;41(3):364-366
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of bullous scabies in a 81-year-old male patient. He had severe pruritic, multiple tense bullae on erythematous base with erosions and crusts from which scabies mites were identified. Histopathologic findings(H&E) revealed subepidermal bulla and direct immunofluorescence showed linear deposition of IgG and C3 at the dermoepidermal junction and linear IgG, C3 deposition at the dermal side of the salt split skin test. However, no EBA or BP antigens were detected. Although skin lesions improved after antiscabietic and oral steroid treatments, pruritic bulla developed repeatedly with scabies reinfestation or discontinuation of oral treatment.
