P. Jarrett et J. Snow, SCABIES PRESENTING AS A NECROTIZING VASCULITIS IN THE PRESENCE OF LUPUS ANTICOAGULANT, British journal of dermatology, 139(4), 1998, pp. 701-703
A 75-year-old man presented with a progressive eruption of 6 weeks' du
ration. Purpura and focal areas of cutaneous infarction were present o
n the legs. There were scabies burrows on the wrists and hands, and a
mite was extracted. Histology of a skin biopsy showed a necrotizing le
ucocytoclastic vasculitis. Circulating lupus anticoagulant was detecte
d. Treatment consisted of topical 5% permethrin cream and systemic ste
roids.