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KMID : 0828520120160030153
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Journal of the Korean Geriatrics Society
2012 Volume.16 No. 3 p.153 ~ p.157
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Two Cases of the Norwegian Scabies-Infested Patients with Chronic Disease in Elderly Care Unit
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Jeong Dong-il
Kim Min-Sung
Jeon Joon-Ho
Kwon Tae-Hyung
Hyun Myung-Ki
Lee Yong-Kyu
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Abstract
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The scabies mite is an ectoparasite able to infest humans. The incidence of scabies decreased during the past 20 years in Korea. But, the incidence is likely to increased again may be delayed or missed diagnosis recently. Its clinical presentation is typical, although in immunocompromised host, mentally retarded and elderly patients the clinical presentation may be altered. Because delay in diagnosis may induce rapid spread of the scabies mite, immediate diagnosis and treatment are necessary. We report two cases of scabies in elderly patients from each different nursing homes. These patients were transferred to our center for treatment pneumonia and chronic renal disease. They revealed pruritus and skin rashes after treatment of further underlying disease. We consulted to dermatologist, because of worsening the symptom despite of applying medication with antihistamine and topical steroid, and then diagnosed scabies. The symptom improved with topical 1% gamma-benzene hexachloride, effective scabies drug. We suggest that geriatrists should suspect scabies who presents with pruritus that is persistent or resistant to conventional treatment, especially patients transferred from nursing homes.
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KEYWORD
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Scabies, Nursing home, Immunocompromised host
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