Abstract :
Scabies is an infestation caused by Sarcoptes scabiei and characterised by polymorphous lesions that may include burrows, papules, pustules, crusts and excoriations. Several pruritic diseases may be confused with scabies. Herein, we present a case of scabies with lesions resembling perforating folliculitis diagnosed on the basis of both clinical and histopathological view. A 72-year-old man with type 2 diabetes mellitus and receiving hemodialysis for ten years due to end-stage renal disease was admitted to our dermatology department with a 6-month history of severe pruritus. Based on the results of skin biopsy revealing Sarcoptes scabiei in the epidermis, the patient was diagnosed as scabies and was successfully treated with 5% permethrin. This case is presented to emphasize that scabies should be considered in the differential diagnosis in cases of chronic pruritus. (Turkderm 2010; 44: 164-6) Key Words: Chronic renal failure, diabetes mellitus, pruritus, perforating folliculitis, scabies Skabiyes, Sarcoptes scabiei adli parazitin neden oldugu, deride tuneller, papuller, eritematoz pustuller, vezikuller, krut ve ekskoriyasyonlar gibi polimorfik lezyonlar ile karakterize bir infestasyondur. Klinik olarak kasinti ile seyreden bircok deri hastaligi ile karisabilir. Alti aydir devam eden kasinti sikayeti ile basvuran, kronik bobrek yetmezligi nedeniyle on yildir diyalize giren ve diyabeti olan 72 yasindaki erkek hastanin sirtindaki perforan follikulite benzeyen lezyonlardan alinan deri biyopsisinde epidermis icerisinde sarkoptlar gorulmustur. Hastanin sikayetleri %5 permetrin krem uygulanmasi sonrasinda tamamen duzelmistir. Olgu kronik kasintisi olan olgularda veya hastaliklarda ayirici tanida skabiyesin mutlaka dusunulmesi gerektigini vurgulamak amaciyla sunulmustur. (Turkderm 2010; 44: 164-6) Anahtar Kelimeler: Kronik bobrek yetmezligi, diyabetes mellitus, kasinti, perforan follikulit, skabiyes
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