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KMID : 0363220090470080925
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Korean Journal of Dermatology
2009 Volume.47 No. 8 p.925 ~ p.929
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A Case of Scabies in an Infant: Presumably Infested from His Nursery Nurse
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Kim Young-Sik
Kim Mi-Hye
Kim Chan-Woo
Shin Dong-Hoon
Choi Jong-Soo
Kim Ki-Hong
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Abstract
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Scabies is a skin disease involving infestation by Sarcoptes scabiei. The incidence of scabies in Korea has decreased during the past 20 years. Atypical cases can be misdiagnosed and can be a source of spreading in a family. A 2 month old infant had multiple erythematous papules, vesicles and yellowish crusted lesions on the trunk, extremities, face, palms and soles. It did not clear with treatments administered by local clinics. Clinical differential diagnoses included incontinentia pigmentii, erythema neonatorum, allergic contact dermatitis, and insect bite. Skin biopsy and mineral oil examination revealed scabies mites and eggs. A history from the family suggested that a nursery nurse taking care of the infant after his birth might be an infection source. His parents, his elder sister, his maternal grandmother and 2 other relatives were also infected from him.
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KEYWORD
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Infant, Nursery nurse, Scabies
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