The challenge of diagnosing scabies in the elderly: A case and a novel therapeutic approach

34691 Management of common scabies and post-scabetic itch in adults: Lessons learned from a single-center retrospective cohort study

“…Our data support that combined topical permethrin plus oral ivermectin therapy is effective in treating common scabies, consistent with the results of a randomized trial and case study demonstrating the efficacy of this regimen and a network meta-analysis showing its superior cure rate ( Braun et al, 2020 ;Prabodh and Vikas, 2016 ;Thadanipon et al, 2019 ). Although our study sample size was small and underpowered to detect a difference between treatment groups, the majority of participants who had failed per-methrin and/or ivermectin achieved cure with combined therapy (n = 15 of 18; 83%).…”

Management of common scabies and postscabetic itch in adults: Lessons learned from a single-center retrospective cohort study

“…Our data support that combined topical permethrin plus oral ivermectin therapy is effective in treating common scabies, consistent with the results of a randomized trial and case study demonstrating the efficacy of this regimen and a network meta-analysis showing its superior cure rate ( Braun et al, 2020 ; Prabodh and Vikas, 2016 ; Thadanipon et al, 2019 ). Although our study sample size was small and underpowered to detect a difference between treatment groups, the majority of participants who had failed permethrin and/or ivermectin achieved cure with combined therapy (n = 15 of 18; 83%).…”

“…A 2019 Cochrane review showed that after 2 weeks of treatment, there was no difference in efficacy or safety between the use of topical permethrin or oral ivermectin in patients with scabies ( Rosumeck et al, 2019 ). However, combined topical permethrin plus oral ivermectin has also been used effectively ( Braun et al, 2020 ; Prabodh and Vikas, 2016 ).…”

Allergic diseases in the elderly

“…Scabies must be considered in the differential diagnosis of generalized dermatitis because institutional acquisition of this infestation is common in the elderly [ 31 ] (see Fig. 4 ).…”