Scabies presenting as a necrotizing vasculitis in the presence of lupus anticoagulant.
A 75-year-old man presented with a progressive eruption of 6 weeks' duration. Purpura and focal areas of cutaneous infarction were present on the legs. There were scabies burrows on the wrists and hands, and a mite was extracted. Histology of a skin biopsy showed a necrotizing leucocytoclastic vasculitis. Circulating lupus anticoagulant was detected. Treatment consisted of topical 5% permethrin cream and systemic steroids.
Jarrett
P
P
Department of Dermatology, Auckland Hospital, Park Road, Private Bag 92024, Auckland 1, New Zealand.
Snow
J
J
D000368:Aged; D006801:Humans; D016682:Lupus Coagulation Inhibitor / Q000097:blood*; D008297:Male; D012532:Scabies / Q000097:blood / Q000150:complications* / Q000473:pathology; D018366:Vasculitis, Leukocytoclastic, Cutaneous / Q000097:blood / Q000150:complications* / Q000473:pathology
D016682:Lupus Coagulation Inhibitor