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January 1987

Crusted (Norwegian) Scabies: Occurrence in a Child Undergoing a Bone Marrow Transplant

Author Affiliations

From the Department of Dermatology, University of Cincinnati College of Medicine (Drs Barnes, McCallister, and Lucky), and the Division of Pediatric Dermatology, Children's Hospital Medical Center, Cincinnati (Dr Lucky). Dr McCallister is presently in private practice, Indianapolis.

Arch Dermatol. 1987;123(1):95-97. doi:10.1001/archderm.1987.01660250101029

• A case of crusted (Norwegian) scabies is reported in a child who was a recipient of a bone marrow transplant. The infestation is presumed to have predated the bone marrow transplant and continued asymptomatically during chemotherapy and total body x-irradiation in preparation for transplant. The child was asymptomatic until 23 days after transplantation, when bone marrow engraftment was attained. The altered host-parasite relationship is emphasized by the observation that the onset of symptomatic pruritus coincided with successful engraftment.

(Arch Dermatol 1987;123:95-97)