title: Scabies simulating Darier disease in an immunosuppressed host.
abstract: A patient who had recently had renal transplant was on a maintenance regimen of azathioprine and prednisone. She developed a florid, scaling, papular eruption clinically identical to Darler disease. Biopsy specimens and skin scrapings, however, showed a scabietic infestation. We believe that this highly atypical presenation, which had several features found in Norwegian scabies, was due to  muted inflammatory response that permitted a great proliferation of the mites.
mesh_terms: D000328:Adult; D001379:Azathioprine / Q000009:adverse effects; D007644:Darier Disease / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007165:Immunosuppression Therapy / Q000009:adverse effects*; D016030:Kidney Transplantation; D011241:Prednisone / Q000009:adverse effects; D012532:Scabies / Q000175:diagnosis* / Q000209:etiology
chemical_list: D001379:Azathioprine; D011241:Prednisone