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Borkenkrusten und generalisierter Juckreiz bei einem 47-jährigen Mann

Hyperkeratotic plaques and generalized pruritus in a 47 year-old man

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Zusammenfassung

Wir berichten über einen 47-jährigen Patienten mit seit 2 Jahren bestehenden, generalisierten, stark juckenden Hautveränderungen, die eine fehlende Besserung auf Kortikosteroidapplikation zeigten. Der Nachweis zahlreicher Milben in den Schuppenkrusten erbrachte die Diagnose einer Scabies norvegica. Die systemische Therapie mit Ivermectin (Stromectol®) sowie die topische Anwendung von Permethrin (InfectoScab®) führten zur langsamen Rückbildung der Ekzemherde. Als auslösende Faktoren werden die immunsupprimierend wirkende Kortikosteroidvorbehandlung sowie der anamnestisch bekannte Alkoholabusus vermutet.

Abstract

A 47-year-old man presented with generalized pruritic lesions that had persisted for 2 years and shown no response to therapy with topical corticosteroids. The identification of numerous mites in the patient’s scales led to the diagnosis of crusted scabies. The lesions responded to systemic therapy with Ivermectin (Stromectol®) and topical application of Permethrin (InfectoScab®). As underlying factors we suspect the immunosuppressive therapy attempts with topical corticosteroids as well as alcohol abuse.

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Authors and Affiliations

  1. Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Universität Leipzig, Philipp-Rosenthal-Str. 23, 04103, Leipzig, Deutschland

    M. Illes,  S. Grunewald, R. Treudler, M.O. Bodendorf & J.C. Simon

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  1. M. Illes
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  2. S. Grunewald
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  3. R. Treudler
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  4. M.O. Bodendorf
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  5. J.C. Simon
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Correspondence to S. Grunewald.

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Illes, M., Grunewald, S., Treudler, R. et al. Borkenkrusten und generalisierter Juckreiz bei einem 47-jährigen Mann. Hautarzt 61, 439–442 (2010). https://doi.org/10.1007/s00105-010-1923-x

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  • DOI: https://doi.org/10.1007/s00105-010-1923-x

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