Search

Prolonged use of topical corticosteroids in children may be associated with both local and systemic adverse effects. We report a case of a 6-month-old female who developed Cushing's syndrome and crusted scabies due to misuse of betamethasone in the diaper area for three months. Crusted scabies is a form of scabies that has the particularity of being more extensive and highly contagious, it is most commonly observed in immunosuppressed patients, in this case it was induced by the chronic application of topical corticosteroids. Physicians and parents should be aware of the potential side effects of topical corticosteroids, especially in thin and covered skin areas, like the diaper area, where absorption is increased. [ABSTRACT FROM AUTHOR]

Bites of insects and arthropods are a frequent cause of visits to physician, and in some cases cause death, especially in children. Scabies is an ectoparasite infestation by Sarcoptes scabiei variety hominis. We report the findings of the autopsy of a 29 year-old man with Norwegian o crusted scabies, an atypical form present in patients with immunodeficiency. The Norwegian scabies results from a failure of the host immune response to control the proliferation of the scabies mite in the skin. In this subtype scabies, secondary sepsis and the subsequent death are frequent. [ABSTRACT FROM AUTHOR]