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Published on: January 7, 2019
[Crusted scabies in HIV/AIDS infected patients. Report of 15 cases]
Andrés Tirado-Sánchez1, Alexandro Bonifaz, Griselda Montes de Oca-Sánchez
1Departamento de Dermatología, Hospital General de Zona 29, Instituto Mexicano del Seguro Social, Ciudad de México, México.
Background:
Crusted (Norwegian) scabies is a rare disease that occurs in patients with compromised immune system like patients with HIV/AIDS. We report 15 cases of crusted scabies in patients with HIV/AIDS successfully treated with oral ivermectin.
Clinical Cases:
The mean age of the patients was 43.7±8.06 and the diagnosis was made at a median of 5 months. All patients were diagnosed with HIV/AIDS treatment with antiretroviral therapy. Patients were treated with repeated doses of oral ivermectin with different schemes with good tolerance and efficacy with full resolution and without recurrence.
Conclusions:
Ivermectin is the treatment of choice for crusted scabies; it is tolerable and accessible to the patient. Immunosuppressed patients are those with the highest risk of acquiring that disease; we highlight the importance of lesion scraping to perform a correct and early diagnosis.
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