Norwegian scabies in a patient treated with Tripterygium glycoside for rheumatoid arthritis
An. bras. dermatol
;
92(4): 556-558, July-Aug. 2017. graf
Article
in English
| LILACS
| ID: biblio-887008
ABSTRACT
Abstract We report an 80-year-old male patient with severe rheumatoid arthritis who was treated with tripterygium glycoside, an immunosuppressive agent made from the extract of a Chinese medicinal herb called Tripterygium wilfordii Hook F. The patient had no apparent skin lesions before the treatment, but he developed aggressive hyperkeratotic lesions with rapid progression after using tripterygium glycoside. He was repeatedly diagnosed with eczema, but treatment failed to achieve efficacy. Interestingly, a microscopic examination of the lesions revealed numerous scabies mites and eggs. Thus, we confirmed the diagnosis of Norwegian scabies infection. Treated with crotamiton 10% cream and 10% sulfur ointment for one month, the patient's clinical symptoms disappeared.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Arthritis, Rheumatoid
/
Scabies
/
Tripterygium
/
Glycosides
Type of study:
Diagnostic study
Limits:
Aged80
/
Animals
/
Humans
/
Male
Language:
English
Journal:
An. bras. dermatol
Journal subject:
Dermatology
Year:
2017
Type:
Article
Affiliation country:
China
Institution/Affiliation country:
Second Military Medical University/CN
Similar
MEDLINE
...
LILACS
LIS