Pediatric patient develops eosinophilia due to crusted scabies in Puerto Rico

The case highlights the possibility of an underlying immune disorder that needs to be addressed.

Case authors emphasize the fact that scabies should remain in the differential diagnosis in an infant presenting with hypereosinophilia and atypical skin lesions. Photo: Provided by the authors of the case via publication.

However reports supporting a possible relationship between Eosinophilia And this scaly itching Limited, a clinical case in Puerto Rico documented the development of the disorder among parasitic scabies infections.

Scabies is caused by Sarcoptes scabiei. This microscopic mite embeds itself in the skin and lays eggs, eventually triggering an immune response that causes intense itching and a rash.

when scaly itching is a rare disease (also known as Norwegian scabies) and is a severe form of scabies that most often occurs in people who have weakened immune systems, neurological diseases, older adults, among others.

It is characterized by a thick crust of skin containing a large number of scabies mites and eggs. scaly itching It is highly contagious and can be spread easily through direct skin-to-skin contact and through contaminated items such as clothing, bedding and furniture.

Registered clinical case says that a prospective study establishes possible between Eosinophilia as a specific discovery of scaly itchingAnd in passage, a case of a 3-month-old newborn with generalized papules and pustules present for 6 weeks, associated with irritability, presented.

The patient showed generalized yellow to reddish-brown spots, papules, and lesions on the face, scalp, trunk, and extremities, including the palms and soles, during his physical evaluation.

Evaluation of the pustular lesions revealed numerous mange mites, eggs, and scabbard. A skin biopsy showed mites with mixed inflammatory infiltrates in the papillary dermis with scattered eosinophils in the subcorneal region.

The patient was treated with 5% sulfur ointment for 3 consecutive nights and was repeated one week later. Pimples and erythema resolved after 3 weeks.

An elevated eosinophil count in scabies can be attributed to several factors, such as a weakened immune system, previous use of topical steroids, or an immature immune system in newborns, Case Discussion reports.

However, the possibility of an underlying immune disorder needs to be addressed, as there have been reports of 2 infants with scabies and hypereosinophilia.

Similarly, the case authors highlight the fact that scabies should remain in the differential diagnosis in an infant presenting with hypereosinophilia and atypical skin lesions, despite completing appropriate treatment.

Incidentally, doctors highlighted that sulfur ointment should be considered as an alternative in children with unusual clinical manifestations that have failed to improve with conventional therapy.

Hypereosinophilic syndromes are a group of blood disorders that occur when you have too many eosinophils, white blood cells that play an important role in the immune system.

Access the case here.

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