V. Marliere et al., Crusted (Norwegian) scabies induced by use of topical corticosteroids and treated successfully with ivermectin, J PEDIAT, 135(1), 1999, pp. 122-124
Crusted scabies is mainly observed in children with immunosuppression or me
ntal illness. Treatment is very difficult, and relapse is frequent after to
pical 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 ivermec
tin is a safe and effective alternative therapy for the treatment of severe
Sarcoptes scabiei infestation in children unresponsive to conventional tre
atment.