RESUMO
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.
Assuntos
Doenças da Unha/epidemiologia , Unhas/parasitologia , Escabiose/epidemiologia , Adolescente , Animais , Antiparasitários/uso terapêutico , Criança , Pré-Escolar , Dermoscopia , Feminino , França/epidemiologia , Humanos , Lactente , Masculino , Doenças da Unha/tratamento farmacológico , Doenças da Unha/parasitologia , Prevalência , Estudos Prospectivos , Sarcoptes scabiei , Escabiose/tratamento farmacológicoRESUMO
We report three pediatric cases of concomitant congenital Horner and Harlequin syndromes. This association suggests a lesion at the superior cervical ganglion or just inferior. Often, no underlying lesion is documented.