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Prevalence of Nail Scabies: A French Prospective Multicenter Study

Abstract : INTRODUCTION: To assess the prevalence of nail involvement in children <16 years old with a confirmed diagnosis of scabies. STUDY DESIGN: Observational, prospective study in 7 French dermatology departments between June 2015 and January 2017. Children were included if they had scabies confirmed by dermoscopy and/or microscopy and if nails could be sampled. The first toenails and thumbnails as well as clinically affected nails were systematically sampled for microscopic examination. Individual data were recorded via a standardized questionnaire. RESULTS: A total of 47 children with scabies were included (26 females [55.3%], mean age 3.6 ± 4.0 years). Pruritus was present in 42 children (89.3%); the relapse rate was 38.3% (n = 18). In 3 infants (6.4%), Sarcoptes mites were revealed by dermoscopy or microscopy of the first toenails (2 cases) and a thumbnail (1 case), but nails were normal in 2 children. Two of the 3 infants had already received treatment for scabies in the previous weeks. CONCLUSION: Prevalence of nail involvement in children with confirmed scabies was 6.4%. Nails should not be overlooked during scabies treatment.
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Soumis le : mardi 8 janvier 2019 - 16:53:44
Dernière modification le : mardi 11 janvier 2022 - 17:56:29




Marie Chinazzo, Guillaume Desoubeaux, Sophie Leducq, Didier Bessis, Catherine Droitcourt, et al.. Prevalence of Nail Scabies: A French Prospective Multicenter Study. Journal of Pediatrics, Elsevier, 2018, 197, pp.154-157. ⟨10.1016/j.jpeds.2018.01.038⟩. ⟨hal-01974312⟩



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