Unveiling crusted scabies: From identification to intervention

• Author Details:   
• Isha Singla
• Aditi Wadhwa ^*
• Harsh Tyagi
• Shitij Goel

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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.