LOCALIZED BULLOUS SCABIES - UNCOMMON PRESENTATION OF SCABIES

A previously unreported form of localized bullous scabies mimicking bu llous pemphigoid is described. The patient presented with a localized, severely pruritic erythematous plaque with a cutaneous eruption consi sting of several papules and a single tense bulla on an erythematous b ase. The histologic findings consisted of a subepidermal inflammatory bullous dermatosis with lymphocytes, neutrophils, and many eosinophils , and the results of direct immunofluorescence were negative. Correlat ion of the clinical course with the histologic and immunofluorescence findings were necessary to establish the diagnosis of infestation by S arcoptes scabiei.