• Rao Muhammad Abid Khan, Asma Muzammil, Sualleha Siddiqi, Shazia Muhammad Qasim, and Ali Nadeem.
• Department of Microbiology, Sindh Institute of Urology and Transplantation (SIUT), Karachi, Pakistan.
• J Coll Physicians Surg Pak. 2022 Mar 1; 32 (3): 380-382.

AbstractBullous scabies (BS) is a rare and atypical presentation of scabies, usually affecting elderly males during the seventh decade of life. BS is characterised by intense pruritic eruptions, nocturnal itch, and characteristic blisters with or without burrows in scabies-prone areas. The scabies lesions might predispose patients to bacterial super-infections, resulting in bullae formation similar to bullous impetigo. The diagnosis of BS is often puzzling and delayed. Few cases of BS have been reported among children globally. We, herein, report a case of BS in an eight-year boy from Pakistan, treated successfully with 5% topical permethrin and 2% mupirocin. Complete healing was noted within four weeks with no recurrence at two months follow-up. Key Words: Scabies, Bullous, Child, Diagnosis, Treatment.

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