Crusted scabies

Sil, Abheek; Punithakumar, Esther J; Chakraborty, Sayantani; Bhanja, Dibyendu Bikash; Panigrahi, Avik; Das, Avijit

doi:10.1136/postgradmedj-2020-137661

Cited by 3 publications

(2 citation statements)

References 2 publications

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“… 4 , 6 Crusted scabies (CS) or Norwegian scabies is a severe variant of scabies, which is rare but extremely contagious hyperinfestation. 7 , 8 CS generally occurs in individuals with immunosuppressive conditions. 1 , 9 However, CS can also occur in immunocompetent individuals.…”

Section: Introductionmentioning

confidence: 99%

“… 1 Some of the conditions that can predispose to CS include human immunodeficiency virus (HIV) infection, leukemia, malnutrition, mental retardation (Down’s Syndrome), corticosteroid use, diabetes mellitus, and systemic lupus erythematosus (SLE). 1 , 10 , 11 Features of CS skin lesions include papules, plaques, scales, fissures, and hyperkeratotic crusts, 7 with firmly adherent crusting lesions, gray or yellow-brown colored, and textured hard. 1 CS can be localized on the scalp, face, neck, palms and soles, and nails.…”

Section: Introductionmentioning

confidence: 99%

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Oral Albendazole as an Alternative Treatment for Moderate Crusted Scabies Along with 5% Permethrin and 5% Salicylic Acid

Gunawan¹,

Banjarnahor²,

Achdiat³

2022

IMCRJ

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Crusted scabies (CS) is a severe variant of scabies, highly contagious, caused by numerous Sarcoptes scabiei (S. scabiei ) infestation. CS is associated with immunosuppressive conditions, like systemic lupus erythematosus (SLE). Various topical and oral scabicidals are used in the treatment of CS, including topical sulfur compounds, benzyl benzoate, crotamiton, lindane, malathion, permethrin, and ivermectin. The treatment of CS does not only need scabicidals, but also keratolytic agents to remove the thick crusts. The severity of CS is classified into three levels and related to the dose of oral ivermectin treatment. When oral ivermectin is not available, oral albendazole can be used as an alternative treatment. A case of CS in a 21-year-old girl with SLE was reported. Physical examination showed multiple lesions in the form erythematous papules, plaques, scales, and hyperkeratotic crusts in almost all parts of the body. The distribution of crusting >30% body surface area, the depth of crusting >10 mm, and there were pyoderma. Sarcoptes scabiei, eggs, and scybala were found on skin scraping. The patient was diagnosed as a moderate CS and treated with occlusive dressings using 5% salicylic acid in vaseline until crusts fell off, 5% permethrin cream three times per week, and 800 mg/day albendazole three consecutive days per week. A clinical and microscopic cure was achieved at day 19 of observation. Albendazole is an antiprotozoal agent with larvicidal effect, therefore it can be used as an alternative treatment of CS when oral ivermectin is unavailable, along with 5% permethrin and 5% salicylic acid.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Oral Albendazole as an Alternative Treatment for Moderate Crusted Scabies Along with 5% Permethrin and 5% Salicylic Acid

Gunawan¹,

Banjarnahor²,

Achdiat³

2022

IMCRJ

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Unexpected crusted scabies in an elderly woman without any immunosuppression

Merad¹

2021

BMJ Case Rep

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Crusted Scabies, a Neglected Tropical Disease: Case Series and Literature Review

Niode

Adji

Gazpers

et al. 2022

Infectious Disease Reports

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Crusted scabies is a rare form of scabies that presents with more severe symptoms than those of classic scabies. It is characterized by large crusted lesions, extensive scales, thick hyperkeratosis, and contains a large number of highly contagious itch mites. Crusted scabies is more prevalent in immunocompromised, malnourished, and disabled individuals. This disease has been linked to a variety of health problems, including delayed diagnosis, infection risk, and high mortality, mainly from sepsis, and it has the potential to cause an outbreak due to its hyper-infestation, which makes it highly infectious. This article reports three cases of crusted scabies in North Sulawesi, Indonesia. Recent updates and a comprehensive review of the literature on the disease are also included, emphasizing the critical importance of early diagnosis and effective medical management of patients, which are necessary to prevent the complications and spread in communities.

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Crusted scabies

Cited by 3 publications

References 2 publications

Oral Albendazole as an Alternative Treatment for Moderate Crusted Scabies Along with 5% Permethrin and 5% Salicylic Acid

Oral Albendazole as an Alternative Treatment for Moderate Crusted Scabies Along with 5% Permethrin and 5% Salicylic Acid

Unexpected crusted scabies in an elderly woman without any immunosuppression

Crusted Scabies, a Neglected Tropical Disease: Case Series and Literature Review

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