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Nodular scabies: a classical case report in an adolescent boy.

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Nodular scabies: a classical case report in an adolescent boy.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ramachandra Reddy, Damodara Ramachandra Reddy, Prathap
Description	Author Affiliation: Ramachandra Reddy D ( Sree Mookambika Institute of Medical Sciences, Kulasekharam, Kanyakumari District, Tamil Nadu, 629161 India.); Ramachandra Reddy P ( Sree Mookambika Institute of Medical Sciences, Kulasekharam, Kanyakumari District, Tamil Nadu, 629161 India.)
Abstract	This case report presents a classical case of nodular scabies in a 12 year boy who complained of itching for 20-21 days before presentation to the hospital. Application of Betnovate ointment (Betamethasone valerate 0.1 %) before presentation to the hospital had provided only 2-3 days of relief from itching. Dermatological examination revealed skin colored to erythematous papule of 3-4 mm on the body with predilection for web space of fingers and flexural areas and nodules on the scrotum and groin. Based on this, clinical diagnosis of scabies with nodular scabies was made on the child. The scraping obtained from the web-space of the child showed mite under the light microscope, which confirms the diagnosis. Treatment with topical permethrin 5 % lotion resulted in 50-70 % subsidence of itching within a day, and improvement in impetigo lesions of his father in 5 days. However, the scrotal and groin nodular lesion of the child persisted with severe itching. Treatment with topical steroid and tacrolimus 0.1 % ointment did not show much improvement. Intralesional injection of triamcinolone (5 mg/ml) on the nodule resulted in 30-40 % subsidence in itching and 50-60 % reduction in the size of the lesion over 2-3 weeks.
File Format	HTM / HTML
ISSN	09717196
e-ISSN	09750703
DOI	10.1007/s12639-013-0365-7
Journal	Journal of Parasitic Diseases
Issue Number	3
Volume Number	39
Language	English
Publisher	Springer
Publisher Date	2015-09-01
Publisher Place	India
Access Restriction	Open
Subject Keyword	Discipline Parsitology
Content Type	Text
Resource Type	Article
Subject	Parasitology

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Nodular scabies: a classical case report in an adolescent boy.

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