Case Report | Open Access
Matthew Sandre, Filip Ralevski, Neil Rau, "An Elderly Long-Term Care Resident with Crusted Scabies", Canadian Journal of Infectious Diseases and Medical Microbiology, vol. 26, Article ID 540156, 2 pages, 2015. https://doi.org/10.1155/2015/540156
An Elderly Long-Term Care Resident with Crusted Scabies
Crusted scabies is a highly contagious form of scabies. Altered immune response, nutritional deficiencies and modified host response are all risk factors for crusted scabies. The authors report a case involving a patient found to have a chronic maculopapular, erythematous rash with large hyperkeratotic, white and grey plaques on the soles of both feet. An ultimate diagnosis of crusted scabies was reached after a delay in diagnosis suspected to be caused by the similarity in appearance to more common skin conditions such as psoriasis. After topical permethrin was unsuccessful, intermittent dosing of oral ivermectin resulted in a rapid reduction in cutaneous plaques.
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