1Department of Dermatology, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China. 2 Department of Dermatology, the Second People's Hospital, Kaifeng, Henan 475002, China. 3Department of Dermatology, No. 2 Hospital of Anhui Medical University, Hefei, Anhui 230601, China.

Introduction Scabies is a common, highly contagious infestation of Sarcoptes scabiei, which affects humans of all ages. It is characterized by polymorphous lesions including burrows and pruritic papules on interdigital webs and hands. Occasionally, secondary lesions may resemble the rashes of folliculitis, impetigo and eczematous changes, and some atypical presentations need to be differentiated from urticaria, dermatitis herpetiformis and Darier′s disease. Vesicular and bullous lesions are rare. Bullous scabies is a distinct subtype presenting as bullous pemphigoid-like bullae, and may act as a trigger or an early presentation of pemphigoid[1]. The first case of bullous scabies was reported and named by Bean[2]. To date, 47 cases have been recorded, including the present one. Bullous scabies is more common in the elderly. Only 17 patients under the age of 60 years have been reported[1-9]. Here, we report a 10-year-old Chinese girl, whose bullous lesions clini-cally mimicked bullous pemphigoid, and summarize the cases from available literature.