title: A dilemma: bullous-pemphigoid-like eruption in scabies or scabies-induced bullous pemphigoid.
abstract: Several diseases may be confused with scabies. Atypical manifestations of scabies have previously been reported, including urticaria, contact dermatitis, and dermatitis herpetiformis. There are also reports of scabies mimicking bullous pemphigoid. Here we report a case of scabies in a patient with manifestation similar to bullous pemphigoid. Direct smear of the bullous lesions was performed and was positive for scabies mites. The skin biopsy specimens submitted for light microscopy and direct immunofluorescence study were considered to be compatible with bullous pemphigoid. The patient treated with single dose oral ivermectin and prednisolone. The pruritus subsided and the eruption improved dramatically in 2 weeks.
authors.affiliation: Department of Dermatology , Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Kamran
authors.initials: K
authors.lastname: Balighi
authors.forename: Reza Mahmoud
authors.initials: RM
authors.lastname: Robati
authors.forename: Nima
authors.initials: N
authors.lastname: Hejazi
mesh_terms: D000818:Animals; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003176:Complement C3 / Q000032:analysis; D003937:Diagnosis, Differential; D004198:Disease Susceptibility; D006801:Humans; D007074:Immunoglobulin G / Q000032:analysis; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007306:Insecticides / Q000627:therapeutic use; D007559:Ivermectin / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D010391:Pemphigoid, Bullous / Q000175:diagnosis / Q000209:etiology* / Q000276:immunology / Q000469:parasitology / Q000473:pathology; D011239:Prednisolone / Q000627:therapeutic use; D011537:Pruritus / Q000209:etiology; D012520:Sarcoptes scabiei; D012532:Scabies / Q000150:complications* / Q000175:diagnosis / Q000276:immunology
chemical_list: D000893:Anti-Inflammatory Agents; D003176:Complement C3; D007074:Immunoglobulin G; D007166:Immunosuppressive Agents; D007306:Insecticides; D007559:Ivermectin; D011239:Prednisolone