Norwegian Scabies
نویسندگان
چکیده
PATIENT PRESENTATION A 48-year-old male presented with body aches and a chronic rash. He had no medical history aside from two unsuccessful treatments for presumed scabies and a recent diagnosis of psoriasis. Physical exam revealed hypotension, tachycardia, and profound, diffuse yellow crusting of the skin with erythematous erosions covering non-crusted areas (Figure). The patient was resuscitated and treated for septic shock while microscopic evaluation of scrapings of the crusted skin was performed (Video). University of Washington, Department of Emergency Medicine, Seattle, Washington University of Washington, Department of Dermatology, Seattle, Washington * †
منابع مشابه
Crusted (Norwegian) scabies in two old-age home residents.
Scabies is commonly seen in hospitals, where it frequently affects geriatric and convalescent patients. The clinical features of the classic form of scabies are well recognised. Crusted (Norwegian) scabies, which is a hyperinfestation variant of scabies, is very contagious and can present as other dermatoses, thus delaying the correct diagnosis and management. Two residents of different old-age...
متن کاملNorwegian Scabies: A Challenging Dermatologic Condition
Norwegian scabies is a rare skin infestation by the mite Sarcoptes scabei var hominis. This condition typically presents with widespread, crusted lesions associated with hyperkeratotic scales. The elderly, the debilitated, and patients who are immunocompromised are at risk for this more severe form of scabies. The authors discuss the presentation, diagnosis, treatment and prevention of this der...
متن کاملUnusual laboratory findings in a case of Norwegian scabies provided a clue to diagnosis.
The diagnosis of Norwegian scabies was missed for a year for an elderly long-term-care facility resident. Serpiginous tracks were noted on the surface of Sabouraud dextrose agar used for fungal culture of the skin scrapings. This unusual laboratory manifestation must alert clinical microbiologists to the possible diagnosis of scabies.
متن کاملNorwegian scabies following topical steroid therapy.
Introduction Reports of Norwegian or crusted scabies occurring in England are rare (Calnan, 1950). In this condition itching is not a constant symptom, burrows may not be present and the acarus may be found on the head and neck. The acarus is seen within scales and the gross hyperkeratosis may give the skin the appearance of the bark of a tree. Norwegian scabies has been reported in mental defe...
متن کاملCrusted Norwegian scabies in an adult with Langerhans cell histiocytosis: mishaps leading to systemic chemotherapy.
BACKGROUND Crusted Norwegian scabies is a rare hyperkeratotic variant of scabies infestation. We report herein a case of crusted scabies in a woman with underlying Langerhans cell histiocytosis (LCH). OBSERVATIONS A 49-year-old woman with LCH was hospitalized owing to marked thrombocytopenia. Her hyperkeratotic skin eruption was thought to be secondary to LCH because several years earlier, sh...
متن کاملNorwegian scabies in a patient with acquired immunodeficiency syndrome.
We report the case of a 42-year-old man with symptomatic HIV infection (C3 CDC stage) who presented widespread hyperkeratotic skin lesions diagnosed as Norwegian scabies. The CD4 count was 87 cells/mm3. The patient has been the source of a nosocomial outbreak (20 individuals affected). He was treated successfully with combined topical treatment (permethrin 5% cream plus keratolytic agents) and ...
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