10.5826/dpc.1201a08
text/xml
2160-9381
1735
en
Iria Neri
https://creativecommons.org/licenses/by-nc/4.0
Dermatology Practical & Conceptual
A Newborn With a Blasckoid-like Distribution Rash: Never Forget to Use the Dermoscope
Text.Serial.Journal
https://dpcj.org/index.php/dpc
Image Letter
2022-02-02
2021-03-28
2022-02-02
2022-02-09
e2022008
Dermatol Pract Concept
Iria Neri
2022/02/02
10.5826/dpc.1201a08
e2022008
Dermatology Unit, IRCSS Policlinico di S. Orsola, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
2160-9381
en
e2022008
Engelman D, Yoshizumi J, Hay RJ, et al. The 2020 International Alliance for the Control of Scabies Consensus Criteria for the Diagnosis of Scabies. Br J Dermatol. 2020;183(5):808-820. DOI: 10.1111/bjd.18943. PMID: 32034956. PMCID: PMC7687112.
A Newborn With a Blasckoid-like Distribution Rash: Never Forget to Use the Dermoscope
https://dpcj.org/index.php/dpc/article/download/1735/1468
                    Dermatology Practical & Conceptual


 A Newborn with a Blasckoid-like Distribution Rash:
      Never Forget to Use the Dermoscope
                 Federica Filippi1, Marco Adriano Chessa1, Federico Bardazzi1, Iria Neri1


1 Dermatology Unit, IRCSS Policlinico di S. Orsola, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna,
  Bologna, Italy



Citation: Filippi F, Chessa MA, Bardazzi F, Neri I. A newborn with a blasckoid-like distribution rash: never forget to use the dermoscope.
Dermatol Pract Concept. 2022;12(1):e2022008. DOI: https://doi.org/10.5826/dpc.1201a08
Accepted: April 25, 2021; Published: January 2022
Copyright: ©2022 Filippi et al. This is an open-access article distributed under the terms of the Creative Commons
Attribution-NonCommercial License (BY-NC-4.0), https://creativecommons.org/licenses/by-nc/4.0/, which permits unrestricted
noncommercial use, distribution, and reproduction in any medium, provided the original authors and source are credited.
Funding: None.
Competing interests: None.
Authorship: All authors have contributed significantly to this publication.
Corresponding author: Marco Adriano Chessa, MD, Dermatology Unit, Department of Experimental, Diagnostic and Specialty Medicine,
University of Bologna, Bologna, Italy. E-mail: marco.adriano.chessa@gmail.com




Case Presentation                                                        Teaching Point
A 30-day-old newborn presented with a 7-day history of an                Norwegian or crusted scabies is a variant of scabies with
erythematous-crusted rash with a blasckoid-like distribution             a massive infestation of Sarcoptes scabiei. Most cases are
on his arm and lower limb (Figure 1, A and B). The baby was              reported in immunocompromised patients; however, in an
sleeping well, and systemic symptoms were absent. A complete             immature immune system, overcrowded living conditions
blood exam showed no abnormalities except for a mild eosin-              can lead to the appearance of the disease in newborns.
ophilia. Dermoscopy revealed crusted scabies (Figure 1C).                Our case is peculiar because of the absence of symptoms
The patient was treated with permethrin 5% cream, applied                and the papulo-erythematous blasckoid-like presenta-
and left on the skin for 4 hours for 2 consecutive nights and            tion [1]. In these cases, dermoscopy has a central role in
then again for 2 consecutive nights after 7 days. Other family           quickly arriving at a diagnosis and avoiding unnecessary
members were given the same treatment regimen, permethrin                ­investigation [2].
5% cream, applied and left on the skin for 8 hours.




Image Letter | Dermatol Pract Concept. 2022;12(1):e2022008                                                                                   1
Figure 1. Detail of the erythematous-crusted rash.and. (A) Right lower limb. (B) Left arm with a blasckoid-like distribution. (C) The
­dermoscopic examination at a magnification of ×10 revealed the clue for diagnosis: typical small brown pigmented triangular structures,
 the so-called hang-glider sign, in addition to S-shaped white burrows or jet-liner sign were detected, leading to the diagnosis of crusted
 scabies.




References                                                              2. Engelman D, Yoshizumi J, Hay RJ, et al. The 2020 Interna-
                                                                            tional Alliance for the Control of Scabies Consensus Criteria
1. Neri I, Chessa MA, Virdi A, Patrizi A. Nodular scabies in in-            for the Diagnosis of Scabies. Br J Dermatol. 2020;183(5):808-
   fants: dermoscopic examination may avoid a diagnostic pitfall.           820. DOI: 10.1111/bjd.18943. PMID: 32034956. PMCID:
   J Eur Acad Dermatol Venereol. 2017;31(12):e530-e531. DOI:                PMC7687112.
   10.1111/jdv.14401. PMID: 28609546.




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