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- DOI 10.18231/j.ijced.53810.1758881102
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CrossMark
Unveiling crusted scabies: From identification to intervention
- Author Details:
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Isha Singla
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Aditi Wadhwa *
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Harsh Tyagi
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Shitij Goel
Isha Singla
Aditi Wadhwa *
Harsh Tyagi
Shitij Goel
Crusted scabies is a rare and highly contagious form of scabies marked by an overwhelming infestation of Sarcoptes Scabiei mites in the skin, especially in immunocompromised, disabled and malnourished individuals. It is characterized by large crusted lesions, extensive yellow to brown scales and thick hyperkeratosis. The condition poses a significant diagnostic challenge due to its resemblance to other dermatological disorders, often leading to delayed treatment and increased risk of transmission.
Here, we present the case of a 70-year-old male with yellowish-brown hyperkeratotic lesions. The patient has a known history of uncontrolled type 2 diabetes mellitus and hypothyroidism for one year, which likely contributed to disease susceptibility and severity. Despite its rarity, early recognition and timely intervention are essential to prevent outbreaks, especially in institutionalized and immunocompromised populations.
This case highlights the challenges in diagnosing and treating crusted scabies, aiming to increase awareness among healthcare providers and emphasize the importance of vigilance in identifying and addressing this rare condition.
References
- Niode NJ, Adji A, Gazpers S, Kandou RT, Pandaleke H, Trisnowati DM, et al. Crusted scabies, a neglected tropical disease: case series and literature review. Infect Dis Rep. 2022;14(3):479–91.
- Walton SF, Pizzutto S, Slender A, Viberg L, Holt D, Hales BJ, et al. Increased allergic immune response to Sarcoptes scabiei antigens in crusted versus ordinary scabies. Clin Vaccine Immunol. 2010;17(9):1428–38.
- Roberts LJ, Huffam SE, Walton SF. Crusted scabies: Clinical and immunological findings in seventy-eight patients and a review of the literature. J Infect. 2005;50(5):375–81.
- Meraz Soto JM, Alvarado Motte RA, Carrillo R, Meraz Soto AA, Villaseñor VB, Wolosky OC, et al. Crusted hyperkeratotic scabies: A case report. Cureus. 2023;15(2):e34520.
- Karthikeyan K. Crusted scabies. Indian J Dermatol Venereol Leprol. 2009;75(4):340–7.
- Talaga-Ćwiertnia K. Sarcoptes infestation. What is already known, and what is new about scabies at the beginning of the third decade of the 21st century? Pathogens. 2021;10(7):868.
- Mundhra R, Rambhia K, Makhecha MB, Gera RG. Dermoscopy of crusted scabies: Revisiting the new and old signs. Indian Dermatol Online J. 2023;14(2):279–80.
- Palaniappan V, Gopinath H, Kaliaperumal K. Crusted scabies. Am J Trop Med Hyg. 2021;104(3):787–8.
- Strong M, Johnstone P. Interventions for treating scabies. Cochrane Database Syst Rev. 2007;2007:CD000320.
- Shimose, L, Munoz-Price, LS. Diagnosis, prevention, and treatment of scabies. Curr Infect Dis Rep. 2013;15(5):426–31.