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KMID : 0363220070450080836
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Korean Journal of Dermatology
2007 Volume.45 No. 8 p.836 ~ p.839
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A Case of Norwegian Scabies in Patient with Acute Myeloid Leukemia Associated Graft-versus-host Disease
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Lim Se-Woong
Baek Hee-Jo
Kook Hoon
Won Young-Ho
Kim Seong-Jin
Lee Jee-Bum
Lee Seung-Chul
Choi Woo-Yeon
Yun Sook-Jung
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Abstract
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Norwegian scabies is a crusted non-itchy rash caused by massive infestation with the mite Sarcoptes scabiei. It is usually associated with immunosuppression or neurologic impairment, although it has rarely been reported in normal persons. We report a case of Norwegian scabies in 6-year old girl with acute myeloid leukemia associated graft-versus-host disease. The lesion showed pruritic, hyperkeratotic scaly plaques and fissures on the entire body. Application of a mineral oil preparation from hyperkeratotic areas showed numerous scabies mites. Treatment with 10% crotamiton cream for two weeks resulted in marked regression of the skin lesions, but finally she died of sepsis due to deterioration of her systemic conditions.
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KEYWORD
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Acute myeloid leukemia, Graft-versus-host disease, Norwegian scabies
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