1/3. Neonatal scabies.scabies contracted during the neonatal period demonstrates a distinct clinical pattern that differs greatly from manifestations seen in older individuals. Involvement of the face, neck, scalp, palms, and soles is a consistent finding, as is the tendency for these lesions to form pustules early in the course of the infestation. Poor feeding and failure to gain weight appropriately are also characteristic features. The skin lesions include erythematous papules, nodular crusts, and putules. The possibility of scabies should be entertained for any young infant who has these findings. Scrapings should be obtained from multiple sites to confirm the diagnosis. In the absence of positive findings for scrapings, examination of close contacts and a careful history should lead to the correct diagnosis.- - - - - - - - - - ranking = 1keywords = palm (Clic here for more details about this article) |
2/3. Neonatal scabies treated with permethrin 5% cream.scabies in neonates and infants has a clinical pattern that may be easily misdiagnosed. The eruption is generalized, including involvement of the head, neck, face, palms, and soles, with an early tendency to pustule formation. Other lesions include papules, vesicles, and burrows, which may be obliterated by secondary lesions. A confusing clinical picture resulted in a delay in diagnosing scabies in a 23-day-old infant who was successfully treated with permethrin 5% cream.- - - - - - - - - - ranking = 1keywords = palm (Clic here for more details about this article) |
3/3. scabies masquerading as Letterer-Siwe's disease.Letterer-Siwe's disease was diagnosed from clinical appearance and initial assessment of a skin biopsy in a child with a 2-month history of skin rash. Fine erythematous papules were scattered on the trunk. The biopsy showed epidermal thickening and an inflammatory infiltrate chiefly in the upper layers of the dermis; deeper in the dermis the infiltrate was perivascular and periappendicular, histiocytes predominating in some areas and lymphocytes in others. A diagnosis of scabies was made after burrows were demonstrated on palms and soles and the mite of scabies was isolated from them.- - - - - - - - - - ranking = 1keywords = palm (Clic here for more details about this article) |