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Archives de pédiatrie
Volume 22, n° 12
pages 1292-1294 (décembre 2015)
Doi : 10.1016/j.arcped.2015.09.004
Received : 27 January 2015 ;  accepted : 15 September 2015
Gale hyperkératosique favorisée par l’utilisation de dermocorticoïdes : à propos d’un cas
Crusted scabies induced by topical corticosteroids: A case report

P. Bilan a, , A.-M. Colin-Gorski b, E. Chapelon b, M.-L. Sigal a, E. Mahé a
a Service de dermatologie, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-Colonel-Prudhon, 95100 Argenteuil, France 
b Service de pédiatrie, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-Colonel-Prudhon, 95100 Argenteuil, France 

Auteur correspondant.

La fréquence de la gale est en augmentation en France. La gale hyperkératosique (ou norvégienne) est une forme de gale très contagieuse en raison d’un nombre important de parasites présents dans la peau. Elle survient sur un terrain d’immunodépression, de déficit sensitif ou moteur ou de retard mental. Sa présentation clinique, en dehors des signes classiques de la gale, se caractérise par des lésions hyperkératosiques. Son traitement est difficile et nécessite une hospitalisation. Les dermocorticoïdes sont fréquemment utilisés en pathologie dermatologique de l’enfant. Nous rapportons le cas d’un garçon de 8ans présentant une gale hyperkératosique induite par l’application de dermocorticoïdes et discutons des aspects thérapeutiques de cette forme sévère de gale.

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The frequency of scabies is increasing in France. Crusted (or Norwegian) scabies is a very contagious form of scabies because of the huge number of mites in the skin. It is observed in patients suffering from immunodepression, motor or sensory deficiency, or mental retardation. The clinical presentation, except for the classic manifestation of scabies, is characterized by crusted lesions. Treatment is not easy and requires hospitalization. Topical corticosteroids are frequently used for children's dermatological diseases. Their long-term and inappropriate application in an infested scabies child can induce crusted scabies. We report on a case of an 8-year-old boy who developed crusted scabies induced by topical corticosteroid application. We discuss the therapeutic aspects of this severe form of scabies.

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