Crusted scabies in an immunocompromised host presents differently from typical scabies: pruritus is mild or altogether absent. Skin lesions are generalized, poorly defined, erythematous, fissured plaques covered by scales and crusts.
Crusted scabies occurs specifically in immunocompromised hosts. The marked reduction or complete absence of itch in this population makes recognition of the characteristic plaque morphology essential for accurate diagnosis.
Management requires a combination of topical and oral therapies used together. The specific agents, schedule, and duration are detailed in the full protocol.
Cure confirmed by the absence of live mites on skin scrapings.
DOI: 10.1111/jdv.14351
Crusted scabies occurs in immunocompromised hosts and may be associated with reduced or absent pruritus.
Skin lesions consist of generalized, poorly defined, erythematous, fissured plaques covered by scales and crusts.
Crusted scabies therapy requires a topical scabicide and oral ivermectin.
A follow-up visit 2 weeks after completion of treatment is recommended for a test of cure by microscopy examination.
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