A case of hyperkeratotic crusted scabies

Area of Science:

• Dermatology
• Parasitology
• Infectious Diseases

Background:

• Crusted scabies is a rare but severe skin hyperinfestation caused by Sarcoptes scabiei var. hominis.
• It disproportionately affects immunocompromised individuals and those with cognitive or physical disabilities.

Observation:

• Characterized by thick, widespread crusts containing a high mite concentration.
• Other typical scabies signs like papules or burrows may be absent.
• Severe cases present with thick, yellow-brown crusts, plaques, and deep fissures.

Findings:

• Diagnosis relies on identifying mites, ova, or feces in skin scrapings.
• Multiple therapeutic options exist for treatment.
• Patient isolation is critical to prevent institutional outbreaks.

Implications:

• Crusted scabies can lead to high mortality, primarily from sepsis.
• Increased awareness and prompt management are essential to reduce morbidity and mortality.
• Effective control strategies are vital for vulnerable populations.