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Case Report: Contagious Rash in Active Systemic Lupus Erythematosus

Kenneth W. Van Dyke, DO, Jen K. Erbil, MD, and Harmanjot K. Grewal, MD  |  March 1, 2015

Crusted scabies is a relatively rare finding that needs to be considered as part of the differential diagnosis in immunosuppressed patients who develop a persistent, pruritic rash. As with our patient, symptoms can completely resolve with effective treatment and containment of the infestation.


Kenneth W. Van Dyke, DO, is a second-year clinical rheumatology fellow at Louisiana State University Health Science Center in New Orleans.

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Jen K. Erbil, MD, is a rheumatologist at Our Lady of the Lake Regional Medical Center in Baton Rouge, La. She completed her fellowship training at Louisiana State University Health Sciences Center in New Orleans.

Harmanjot K. Grewal, MD, is an assistant professor of clinical medicine, Section of Rheumatology, at Louisiana State University Health Science Center in New Orleans.

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Disclosures: Dr. Erbil has given a (nonbranded) presentation for Abbvie.

References

  1. Chosidow O. Scabies. N Engl J Med. 2006 Apr 20;354(16):1718–1727.
  2. Walton S, Beoukas D, Roberts-Thomson P, et al. New insights into disease pathogenesis in crusted (Norwegian) scabies: The skin immune response in crusted scabies. Br J Dermatol. 2008 Jun;158(6):1247–1255.
  3. Centers for Disease Control and Prevention. 2010. Parasites: Scabies. http://www.cdc.gov/parasites/scabies.
  4. Chosidow O. Scabies and pediculosis. Lancet. 2000 Mar 4;355(9206):819–826.
  5. Robers L, Huffam S, Walton, et al. Crusted scabies: Clinical and immunological findings in seventy-eight patients and a review of the literature. J Infect. 2005 Jun;50(5):375–381.
  6. Currie B, McCarthy J. Permethrin and ivermectin for scabies. N Engl J Med. 2010 Feb 25;362(8):717–725

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Filed under:ConditionsResearch RheumSystemic Lupus Erythematosus Tagged with:DiagnosisrashrheumatologyscabiesSystemic lupus erythematosus

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