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GEORGE J.HRUZAMDLYNN A.CORNELIUSMDJOHNSTARRMD
An 11-year-old girl from a rural area was referred to our institution for a generalized dermatologic condition diagnosed as seborrheic dermatitis or psoriasis. The disease began 3 years earlier as pruritic lesions on her abdomen and buttocks. The patient had received multiple topical treatments for 3 years; the treatments had consisted of mainly fluorinated corticosteroids prescribed by general practitioners and pharmacy attendants. The intense pruritus caused by her lesions was mitigated transiently by the use of corticosteroids, but the lesions progressively worsened to the point that, at consultation, the patient walked with pain and difficulty and was not able to feed, dress, or clean herself. All family members with whom the patient lived had developed pruritic skin lesions in the previous few months.
Jaramillo-Ayerbe F, Berrío-Muñoz J. Ivermectin for Crusted Norwegian Scabies Induced by Use of Topical Steroids. Arch Dermatol. 1998;134(2):143–145. doi:https://doi.org/10.1001/archderm.134.2.143
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