A VERY COMMON DISEASE IN THE PAST THAT STILL CHALLENGES DERMATOLOGISTS - WHICH IS YOUR DIAGNOSIS?

Abstract

This paper presents a case of Hebra’s prurigo, with the typical picture in a child under similar socioeconomic conditions and predisposing factors described by Hebra in Vienna, in the nineteenth century. This disease is an eruption of multiple extremely itchy small papules. Because of scratching, there are abrasions or lichenification, frequent secondary infection and progression to scars with dyschromia. Affected children are usually malnourished and have increased inguinal, axillary or cervical lymph nodes. They are generally atopic children with hypersensitivity to insect bite, in a context of inadequate hygiene and poor nutrition.