Crusted (Norwegian) scabies induced by use of topical corticosteroids and treated successfully with ivermectin.

Abstract	Crusted scabies is mainly observed in children with immunosuppression or mental illness. Treatment is very difficult, and relapse is frequent after topical scabicidal therapy. We describe a case of crusted scabies, induced by long-term application of a topical corticosteroid, relapsing after topical treatment and dramatically improved by ivermectin. We suggest that ivermectin is a safe and effective alternative therapy for the treatment of severe Sarcoptes scabiei infestation in children unresponsive to conventional treatment.
Authors	V Marlière, S Roul, C Labrèze, A Taïeb
Journal	The Journal of pediatrics (J Pediatr) Vol. 135 Issue 1 Pg. 122-4 (Jul 1999) ISSN: 0022-3476 [Print] United States
PMID	10393619 (Publication Type: Case Reports, Journal Article)
Chemical References	Anti-Inflammatory Agents Glucocorticoids Insecticides Ivermectin betamethasone-17,21-dipropionate Betamethasone
Topics	Administration, Topical Anti-Inflammatory Agents (adverse effects) Betamethasone (adverse effects, analogs & derivatives) Glucocorticoids Humans Infant Insecticides (therapeutic use) Ivermectin (therapeutic use) Male Scabies (chemically induced, diagnosis, drug therapy)

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