[Scabies in infants--problems in differential diagnosis].
Scabies is very often parasites dermatosis. Diagnostic problems are not rare considering the fact that the clinical picture of scabies in infant population is different compared to the adult population. The scabies that is untreated or non-adequately treated has a long course followed by complications. In hospital in Tuzla in a period 1995-1997 we have done retrospective study which included 64 infants with scabies followed with complications. Skin changes have appeared approximately 2-6 months before admission to the hospital. In 55.3% cases the scabies stayed unrecognized and the aforementioned patients were treated under other diagnosis: Dermatitis allergic 50%, Piodermia 30%, Dermatitis seborrhoica 10%, Dermatosis 10%. Problem is the medical treatment of only sick child, and not of complete family. That makes possibility for inter-family infestation and prolongs course of scabies as disease as well as its medical treatment. In infants with skin changes we should also consider possibility of infection by parasite Sarcoptes scabiei var. hominis. Medical treatment and appropriate diagnostic as well as treatment of all members of the families without the matter of existence of skin changes makes the course of disease shorter.
Kuralić
S
S
Klinika za kozne i spolne bolesti, Univerzitetski klinicki centar, Tuzla.
Pasić
F A
FA
Hadzigrahić
N
N
D003937:Diagnosis, Differential; D006801:Humans; D007223:Infant; D012189:Retrospective Studies; D012532:Scabies / Q000175:diagnosis* / Q000628:therapy; D012871:Skin Diseases / Q000175:diagnosis