title: [Norwegian scabies, a rare diagnosis in Tunisia].
abstract: Norwegian scabies is a particular form of scabies, rarely reported in Tunisia. It habitually occurs in immunocompromised hosts, with prolonged immunosuppressive therapy, congenital immune disease, HIV-1 infection or neoplasm. We report an observation of norwegian scabies, occuring in a woman with prolounged systemic corticosteroid therapy.
  
  
  METHODS
  A 65-year-old woman, with a long history of obstructive bronchoneumopathy and bronchiectasis, treated with systemic corticosteroids for 5 years, was referred with a mild pruriginous and scaly erythroderma. This dermatosis developed within 5 months, with fever and impairing of health. Skin parasitological exams showed a massive infestation by sarcoptes. Histologic findings revealed multiple sarcoptes scabiei and eggs in the stratum corneum. The patient was treated with benzyl benzoate during 48 hours. She died rapidly with acute respiratory distress.
  
  
  CONCLUSIONS
  basing on this observation of norwegian scabies occuring in an old immunocompromised woman, we put the accent on this particular form of scabies, often misappreciated, and incite to practice skin and nail parasitological exams in case of mild pruriginous, chronic scaly erythroderma. developing in immunocompromised patients.
authors.affiliation: Service de Dermatologie, CHU Farhat Hached, Sousse Tunisie.
authors.forename: Amel
authors.initials: A
authors.lastname: Mebazaa
authors.forename: Bouraoui
authors.initials: B
authors.lastname: Bedday
authors.forename: Sabiha
authors.initials: S
authors.lastname: Trabelsi
authors.forename: Mohamed
authors.initials: M
authors.lastname: Denguezli
authors.forename: Moncef
authors.initials: M
authors.lastname: Ben Said
authors.forename: Colandane
authors.initials: C
authors.lastname: Belajouza
authors.forename: Rafiaa
authors.initials: R
authors.lastname: Nouira
mesh_terms: D001565:Benzoates / Q000627:therapeutic use; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D007306:Insecticides / Q000627:therapeutic use; D012532:Scabies / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000469:parasitology; D014416:Tunisia / Q000453:epidemiology
chemical_list: D001565:Benzoates; D007306:Insecticides; C006723:benzyl benzoate