Crusted scabies

Abstract

Crusted scabies is a rare manifestation of scabies characterized by uncontrolled proliferation of mites in the skin. In immunocompromised patients, this infestation is characterized by crusted lesions. The occurrence of the disease in human immunodeficiency virus-infected patients and the widespread use of immunosuppressive agents has led to a renewed interest in the disease. Early recognition and treatment is necessary to avoid an outbreak of scabies. This review highlights the pathogenesis, predisposing factors, clinical features and treatment of crusted scabies.

Erythroderma, Scaly Scalp and Nail Dystrophy: A Misleading Association

“…The eruption is slow in onset and insidious in progression. It usually presents with cutaneous eruption of hyperkeratotic crusted papules and plaques [10]. It can also present as warty dermatosis of the hands and feet.…”

Norwegian Scabies in Hiv Infected Male With Excellent Response to Anti - Scabietic Treatment : A Case Report

“…4 Norwegian scabies also known as crusted scabies or hyperkeratotic scabies is a highly contagious form of scabies characterized by hyperkeratosis and crusting of the skin due to profuse proliferation of mites resulting from an impaired response to the infestation. 5 These individuals harbour millions of mites in their scales or crusts and thus are highly contagious to contacts.…”

Sarna Crostosa em Doente com Infecção VIH

“…1,14 O tratamento eficaz da sarna crostosa depende de vá-rios factores: realização de tratamento acaricida combinado (tópica e oral), boa adesão ao tratamento, descontaminação de fomites e tratamento simultâneo de contactos próxi-mos.…”

“…A terapêutica sintomática com anti-histamínicos deve ser considerada sempre que o prurido seja significativo. 14,18 Os contactos próximos assintomáticos deverão ser submetidos a quimioprofilaxia utilizando terapêutica tópica ou oral em esquema que seria recomendado para tratamento de sarna clássica.…”