Scabies, Incomplete Lupus Erythematosus and Henoch-Schonlein Purpura: A Case Report

Background (cid:0) Henoch-Schonlein purpura (HSP) is a common autoimmune vasculitis in childhood. Although the detailed etiology of HSP remains unknown, several triggers, especially for infectious agents, have been proved to be associated with HSP onset. Case presentation: In the present report, we describe an unusual patient who suffered from HSP and incomplete lupus erythematosus (ILE) on day 8 after scabies, mainly based on nonthrombocytopenic purpura, abdominal pain, medium proteinuria, positive antinuclear antibody (ANA) and skin scrapings. A course of pulse methylprednisolone (10mg/kg/day) was administered for 6 days, followed by oral prednisone (1mg/kg/day). On day 18, the purpuric rashes almost disappeared, whereas medium proteinuria still existed. In this circumstance, a renal biopsy was performed with the informed consent of the parents. According to the criteria proposed by the International Study of Kidney Disease in Children, this patient was classied as class IIIb. The immunouorescence microscopy revealed granular deposits of IgA, IgM and C3 in the glomerular mesangium. His proteinuria gradually decreased after treatment of corticosteroids plus mycophenolate mofetil (20mg/kg/day). Conclusions: However, it should be noted that corticosteroids and immunosuppressors may increase the relapse risk of scabies, therefore this patient should be followed up carefully after discharging from our department.


Introduction
Henoch-Schonlein purpura (HSP) is an immunoglobulin A (IgA)-mediated, autoimmune, hypersensitivity vasculitis in childhood, mainly characterized by non-thrombocytopenic purpura, abdominal pain, arthritis and renal involvement.An epidemiological survey in Taiwan, China from 1997 to 2012 demonstrated that a total of 1002 HSP children were recruited with an annual incidence of 9.61 per 100,000 children younger than 18 years.The occurrence of HSP peaks between 7 and 9 years of age, and male children are more often affected than female children [1,2].Currently, the detailed etiology of HSP remains unknown.Several triggers, including infectious agents, foods, drugs, vaccinations and insect bites, have been reported to be associated with HSP onset.Recently, our research panel retrospectively reviewed the clinical records of 1200 HSP children, and found that streptococcus was the most frequent infectious trigger and identi ed in 205 cases (17.08%), followed by helicobacter pylori, mycoplasma, parain uenza, respiratory syncytial virus, tubercle bacillus and toxoplasma gondii [2].Scabies is a skin hypersensitivity reaction caused by infestation with the mite, Sarcoptes scabiei var.hominis, and its prevalence decreases in worldwide as the improvement of environmental hygiene [3].In the present report, we encountered an unusual patient who suffered from HSP and incomplete lupus erythematosus (ILE) on day 8 after scabies.

Case Report
An 11-year-old boy was rst referred to the Department of Dermatology in November 2018, with a history of nocturnal and generalized pruritus, itchy rashes on his upper trunk.Physical examination revealed multiple small(< 6 mm) papules and raised burrows on his upper trunk.By a light microscope under low power, a translucent mite around 0.2 to 0.5 mm long with four pairs of brown legs was seen on the direct examination of skin scrapings (Fig. 1a).He was diagnosed with scabies and treated with whole-body applications of 5% permethrin lotion and oral cetirizine (10 mg/day).On day 8, the papules and small burrows were signi cantly resolved, whereas edema and palpable purpuric skin lesions were found on his lower limbs (Fig. 1b), combined with transient abdominal pain.Under the circumstances, he was brought to our department for a further consultation.On admission, his blood pressure was 108/80 mmHg, heart rate was 65 beats/min, axillary temperature was 36.8 °C and respiratory rate was 18 breaths/min.Except for the characteristic purpura and periumbilical tenderness, the cardio-pulmonary examination revealed unremarkable.His initial blood counts were as follows: white blood cells 6.68 × 10 9 /l, red blood cells 5.01 × 10 12 /l, hemoglobin 154 g/l, and platelets 221 × 10 9 /l.Other blood chemistry ndings were erythrocyte sedimentation rate (ESR) 10 mm/h, C-reactive protein (CRP) 0.80 mg/l, creatinine (Cr) 63 µmol/l, serum ferritin 20.61 µg/l, complements 3 (C3) 1.12 g/l, complements 4(C4) 0.24 g/l and immunoglobulin A (IgA) 2.88 g/l.The autoimmune serologic workup came back positive for antinuclear antibody (ANA); negative for anti-double stranded DNA antibody (anti-dsDNA), anti-Smith antibody (anti-SM) and anti neutrophil cytoplasmic antibody (ANCA).Antibody tests for human immunode ciency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), Epstein-Barr virus (EBV), mycoplasma (MP) and tubercle bacillus (TB) were also not reactive.Urinalysis showed red blood cell: 1+, protein: 2 + with 24 h urine protein of 0.90 g.A routine stool test showed weak positive faecal occult blood but no erythrocytes.The electrocardiogram, abdominal and renal ultrasonography had no signi cant abnormalities.According to the above clinical and laboratory ndings, he was diagnosed as having HSP and ILE.Taking into consideration medium proteinuria, a course of pulse methylprednisolone (10 mg/kg/day) was administered for 6 days, followed by oral prednisone (1 mg/kg/day).On day 18, the purpuric rashes almost disappeared, whereas medium proteinuria still existed.A renal biopsy was performed and the histopathological examination of the biopsy specimen showed 8 glomeruli with one evidence of global sclerosis, crescent formation was observed in 5/8 glomeruli.Mild mesangial proliferation and expansion were also seen in glomeruli.
Moreover, mild expansion was noted in the interstitium, in association with tubular atrophy (Fig. 1c).The immuno uorescence microscopy revealed granular deposits of IgA, IgM and C3 in the glomerular mesangium (Fig. 1d).Based on these ndings, he was diagnosed as having HSP nephritis (International Study of Kidney Disease in Children category: Class IIIb).The patient was treated with high-dosage intravenous methylprednisolone(30 mg/kg/day) followed by prednisone(1 mg/kg/day) combined with oral mycophenolate mofetil(20 mg/kg/day).The pulse therapy was performed three times in total and his proteinuria gradually decreased.The study protocol was approved by the Research Ethics Commission of the First A liated Hospital of Anhui Medical University.

Discussion And Conclusions
In this report, we encountered an unusual case who suffered from HSP on day 8 after scabies.As there is no de nitive test for HSP diagnosis, the 2008 European League Against Rheumatism criteria are still the most commonly used guideline for HSP diagnosis [4].On this basis, our patient ful lled 3 criteria (nonthrombocytopenic purpura, abdominal pain and renal involvement), and thus the diagnosis of HSP was made undoubtedly after scabies.To the best of our knowledge, very few previous studies have documented that cutaneous vasculitis can be secondary to or coexisting with scabies [5].Furthermore, Liu et al. [6] tracked 4481 scabies patients for a 7-year period and found that scabies lead to a 5.44-fold increased risk for hypersensitivity vasculitis, a 4.91-fold increased risk for dermatomyositis, a 2.89-fold increased risk for polyarteritis nodosa, a 2.73-fold increased risk for systemic lupus erythematosus respectively, compared with the healthy population.According to the current limited evidence, we speculated that the potential mechanisms of scabies-associated HSP may be attributed to the host response to antigens on Sarcoptes scabiei var.Hominis, such as immune-complex mediated injury, cytotoxic T-cell-mediated immune responses and autoimmune reactions.Further studies are warranted to clarify their shared etiologies and relationships.
As for the present case, another unique feature was the positive ANA, whereas the other diagnostic criteria for systemic lupus erythematosus (SLE) were absent.In fact, HSP and SLE share several commonalities such as their own characteristic rashes and a multi-system involvement.In our previous report, we encountered an unusual female patient who suffered from HSP at 3 months after diagnosis of SLE.Distinct from the present case, her autoimmune serologic workup indicated positive anti-dsDNA/anti-SM and low C3/C4 besides positive ANA [7].ILE patients had at least one but less than four of the American College of Rheumatology(ACR) classi cation criteria of SLE and did not present distinctive clinical features or meet classi cation criteria of other connective tissue diseases [8].Although the majority of ILE patients may never reach SLE classi cation, about 10%-50% of ILE patients are at high risk of progressing to complete SLE within 5 years [9].In southern Sweden, Hallengren et al. [10] followed up 28 ILE patients for a 10-year period and found that 16 of 28 patients developed complete SLE, and malar rash and anti-cardiolipin antibodies were the potent predictors of complete SLE; in addition, positive Wasserman and ANA, thrombocytopenia, arthritis and early involvement of multiple organs could also serve as the candidates of risk factors for development of complete SLE.Based on the experiences from adult ILE, antimalarial drugs may play a bene cial role in limiting organ damages, delaying complete SLE onset, slowing the accrual of autoantibodies and reducing the need for drugs with greater toxicity, but which has not yet been formally tested in longitudinal studies and even in pediatric patients [11].
During the period of hospitalization, our patient suffered from acute kidney injury and had persistent proteinuria.The histopathological examination of the renal biopsy specimen showed that the pathological classi cation was class IIIb.As we all know, the degree of proteinuria has been proven to be not only a sign but an accelerator of nephropathies.A recent single-center study from Shanghai Children's Hospital showed that the pathological classi cation in 62.97% of HSP patients with nephrotic proteinuria were above the ISKDC class III [12].Currently, the main treatments of HSP nephritis encompass corticosteroids alone or plus immunosuppressors.Feng et al. [12] administered methylprednisolone and mycophenolate mofetil to 54 HSP patients with nephrotic proteinuria, and found that 68.52% of patients had complete remission and no patient progressed to end-stage renal disease after a follow-up of 6 months to 5 years.In the present report, it should be noted that corticosteroids and immunosuppressors may increase the relapse risk of scabies, therefore this patient should be followed up carefully after discharging from our department.

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