Concluded Case

Nodular Scabies

Patient presenting with a a swelling over scrotum but on detailed history- found to be having scabies Chief Complaints A swelling over scrotum in a 5 year old child History Parents of the child c/ O a swelling over scrotum On detailed history child is having severe itching over the whole body . Also the father - and other sibling is having similar complaints. Vitals NORMAL Physical Examination A nodular swelling of scrotum Investigations No investigations required Diagnosis NODULAR SCABIES OVER SCROTUM as part of generalized SCABIES Management Permethrin lotion application to the child and the other members of the family. Liq,Bandy plus ( Albendazole + Ivermectin) 2tsf daily for 3 days . Liq Fexofenadine 1 tsf B.D Liq Amoxyclav 375 1 tsf B.D

3 Likes

LikeAnswersShare
Concluded answer

Nodular scabies with topical tacrolimus It presents as pruritic, persistent nodules for months even after specific treatment of scabies.[1] It probably represents the hypersensitivity reaction to retained mite parts or antigens. Genital skin and scrotal skin are the commonest sites for such lesions. The treatment for these scabietic nodules can be a challenge. They are usually treated with topical steroids or with intralesional steroids but the response is less than satisfactory and relapses are frequent, also long-term use of topical corticosteroid over genital skin can lead to significant cutaneous side effects. Tacrolimus is a calcineurin inhibitor.,and can be useful in such cases.

All Answers

Nodular scabies with topical tacrolimus It presents as pruritic, persistent nodules for months even after specific treatment of scabies.[1] It probably represents the hypersensitivity reaction to retained mite parts or antigens. Genital skin and scrotal skin are the commonest sites for such lesions. The treatment for these scabietic nodules can be a challenge. They are usually treated with topical steroids or with intralesional steroids but the response is less than satisfactory and relapses are frequent, also long-term use of topical corticosteroid over genital skin can lead to significant cutaneous side effects. Tacrolimus is a calcineurin inhibitor.,and can be useful in such cases.

Nodular scabies

Thank you doctor
0

An important educative case Sir. Thanks for sharing.

Thank you Sir@Dr. Harshavardhan G .
0

View 2 other replies

Informative and educative post. Thanks for sharing. May persists for .months or years despite of treatment.

Thank you doctor
0

View 1 other reply

Diagnosed rightly

Thanks Dr. Harshvardhan G, Dr. Parveen Yograj, Dr. A Dutta
0

Diseases Related to Discussion