Hyperkeratotic Plantar Plaques in an HIV-Positive Patient

Bitman, Leslie M.; Rabinowitz, Asher D.

doi:10.1001/archderm.134.8.1019

Cited by 14 publications

(11 citation statements)

References 23 publications

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“…[ 1 ] These crusts can be removed by employing a keratolytic agent such as 5-10% salicylic acid in petrolatum, 40% urea or by soaking in a hot bath. [ 4 ]…”

Section: Discussionmentioning

confidence: 99%

Crusted scabies presenting as palmoplantar psoriasis in Down′s syndrome

Rangaraj

Sengottian

Karthikeyan

2015

Indian Dermatol Online J

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“…[ 1 ] These crusts can be removed by employing a keratolytic agent such as 5-10% salicylic acid in petrolatum, 40% urea or by soaking in a hot bath. [ 4 ]…”

Section: Discussionmentioning

confidence: 99%

Crusted scabies presenting as palmoplantar psoriasis in Down′s syndrome

Rangaraj

Sengottian

Karthikeyan

2015

Indian Dermatol Online J

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“…10±12 To enhance the effect of the topical and possibly also the oral scabicide and to reduce the cutaneous mite burden, crusts should be removed by using a keratolytic agent or by soaking in a hot bath. 3,12,13 Ivermectin is the best-documented oral scabicide, but flubendazole and thiabendazole can also be used. 14 Ivermectin belongs to the group of avermectins.…”

Section: Discussionmentioning

confidence: 99%

Crusted (Norwegian) scabies in a patient with dystrophic epidermolysis bullosa

Wal¹,

Vader²,

Mandema

et al. 1999

Br J Dermatol

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A 13-year-old girl with severe non-mutilating recessive dystrophic epidermolysis bullosa (EB) was admitted to hospital because of a Staphyloccus aureussepsos, deterioration of her general condition and worsening of her skin disease, which itched severely. In addition to the blisters and erosions normally seen, she was covered from head to toe with scales and hyperkeratotic crusts. Despite intensive topical therapy, her skin condition did not improve significantly until scabies was detected and treated 1 week after admission. Because of the huge number of mites found and the crusted appearance, a diagnosis of crusted (Norwegian) scabies was made. She was successfully treated with two doses of ivermectin orally and one application of lindane ointment. Permethrin cream was not tolerated. In this patient crusted scabies may have developed because of: (i) a modified host response due to malnourishment; (ii) inability to scratch because of the absence of fingernails; and (iii) abnormal scratching behaviour because of the vulnerability of EB skin, or a combination of these factors. Limited isolation measures were taken on admission and full measures were taken immediately after the diagnosis of crusted scabies was made. Prophylactic treatment of ward personnel was not undertaken. Fortunately, there was not an outbreak of scabies in the hospital.

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“…This may bring down the mite load and also enhance the efficacy of topical scabicidals. [40] Symptomatic treatment includes antihistamines for pruritus and an emollient for dry skin. Crusted scabies can be complicated by secondary bacterial infection.…”

Section: Diagnosis Diagnosismentioning

confidence: 99%

Crusted scabies

Karthikeyan¹

2009

Indian J Dermatol Venereol Leprol

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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.

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Hyperkeratotic Plantar Plaques in an HIV-Positive Patient

Cited by 14 publications

References 23 publications

Crusted scabies presenting as palmoplantar psoriasis in Down′s syndrome

Crusted scabies presenting as palmoplantar psoriasis in Down′s syndrome

Crusted (Norwegian) scabies in a patient with dystrophic epidermolysis bullosa

Crusted scabies

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