Crusted Scabies in Patients with Recessive Dystrophic Epidermolysis Bullosa

Dermatology online journal  ·  2026

Hanan Ashrafi Noviandari; Tuntas Rayinda; Maulidina Agustin; Joko Santosa; Arief Budiyanto; Retno Danarti;

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ABSTRACT

Crusted scabies is a severe and highly contagious variant of scabies, characterized by extensive infestation of var. within the epidermis. It typically occurs in individuals with compromised immune responses to parasitic infections. Crusted scabies in patients with epidermolysis bullosa, particularly recessive dystrophic epidermolysis bullosa (RDEB), is rarely reported. Here, we describe a 14-year-old girl with severe RDEB who developed crusted scabies. Treatment with a combination of ivermectin and losartan led to significant clinical improvement.

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