The present study reports the case of an elderly patient who presented with crusted scabies combined with bullous scabies. [spandidos-publications.com]

Crusted scabies rarely presents with scalp involvement [ 5, 6, 7, 8 ]. We present a series of four patients with crusted scabies in whom scaly scalp was an evident component of the disease. [escholarship.org]

Combined case–contact pairs presented a median of 12 times per year (range, 4–16) with presentations related to simple or crusted scabies during the combined 57 years of audited records. [mja.com.au]

Affected patients may present thousands of parasites on the skin surface. [revistanefrologia.com]

Case presentation A 28-year-old man confined in a crowded prison presented to our institution due to respiratory symptoms. [bmcinfectdis.biomedcentral.com]

• Weight Loss

  Recurrent infections can lead to weight loss as a result of altered metabolism, nutrient loss and decreased appetite. [mja.com.au]

  It usually involves the subungueal area with nail hyperkeratosis and dystrophy. 2 A 56-year-old man, alcoholic, presented with a seven-month history of pruritus (with nocturnal exacerbation), weight loss and muscle weakness. [bjid.org.br]

  Seven months after complete clearance of crusted lesions, her general health suddenly worsened with intermittent fever, severe weight loss of 10 kg, enlarged lymph nodes, fatigue, night sweating, malaise, and bruised skin. [onlinelibrary.wiley.com]

• Splenectomy

  The patient had previously undergone splenectomy. She had been taking azathioprine and prednisolone daily for more than 1 year. The rash had begun as itchy minor eruptions 3 months previously. [cmaj.ca]

• Cheilitis

  Wide oval patches of nonscarring alopecia developed on the scalp, and atrophic glossitis and angular cheilitis were noted on the oral mucosa, along with a white pseudomembranous exudate on the palatum. [mdedge.com]

• Nikolsky's Sign

  Nikolsky sign testing of the blisters was negative. The general physical examination was normal. Biopsy of a tense bulla excised from the left thigh revealed the formation of an subepidermal blister. [spandidos-publications.com]

• Alopecia

  Taking into account the patient’s history of autoimmune hypoparathyroidism, hypothyroidism, oral candidiasis, and alopecia areata, he was diagnosed with autoimmune polyglandular syndrome. [mdedge.com]

• Muscle Weakness

  It usually involves the subungueal area with nail hyperkeratosis and dystrophy. 2 A 56-year-old man, alcoholic, presented with a seven-month history of pruritus (with nocturnal exacerbation), weight loss and muscle weakness. [bjid.org.br]

• Scaly Scalp

  We present a series of four patients with crusted scabies in whom scaly scalp was an evident component of the disease. [escholarship.org]

• Paresis

  It has been described in patients who do not scratch because of an absence of pruritus or immobility, such as occurs in patients with mental illness, sensory neuropathy, paresis, debilitating illness, or severe arthropathy. [jamanetwork.com]

[…] of scabies with ivermectin, N Engl J Med, 1995, vol. 333 (pg. 26 - 30 ) 14 Comparison of ivermectin and benzyl benzoate for treatment of scabies, Trop Med Parasitol, 1993, vol. 44 (pg. 331 - 2 ) 15 Deaths associated with ivermectin treatment for scabies [academic.oup.com]

People with crusted scabies should receive quick and aggressive medical treatment for their infestation to prevent future outbreaks of scabies. [1] Ivermectin, a drug used to treat parasitic infections, is commonly used for treatment. [2] Last updated [rarediseases.info.nih.gov]

Single treatment with any of the above is often inadequate and unsatisfactory. [dermatologyadvisor.com]

Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015 Jun 5;64(RR-03):1-137. [dermnetnz.org]

Due to impaired immune response, manifestations may occur in a atypical pattern and pruritus may be mild or absent, which can lead to late diagnosis and worse prognosis. 1–4 A female 47-year-old renal transplant recipient (transplant 16 years ago), with [revistanefrologia.com]

Outlook (Prognosis) Itching may continue for 2 weeks or more after treatment begins. It will disappear if you follow the provider's treatment plan. Most cases of scabies can be cured without any long-term problems. [pennmedicine.org]

Crusted scabies also has been shown to develop in Australian natives with normal immunity, though the etiology of the increased susceptibility in this patient population remains unclear. [mdedge.com]

Etiology The disease is caused by the human mite, Sarcoptes scabiei var. hominis. For the taxonomy of the scabies mite, see the article on Scabies. [dermatologyadvisor.com]

Hypotheses include infection-associated, mite-induced basement membrane zone-related, and other etiologies. [dovepress.com]

Since scabies is an infestation, not an infection, it is NOT reportable as a communicable disease to OCHCA Epidemiology, unless associated with an outbreak. Outbreaks should be reported immediately by phone (714-834-8180) to OCHCA Epidemiology. [ochealthinfo.com]

Seroprevalence and epidemiological correlates of HTLV-I infection in U.S. blood donors. Science 1988 ; 240: 643 – 646. Google Scholar Crossref Medline ISI 2. Oger, JJ, Werker, DH, Foti, DJ. [journals.sagepub.com]

Validation of epidemiological tools for eczema diagnosis in Brazilian children: The ISAAC’s and UK Working Party’s criteria. BMC Dermatol 2010;10(3):11. Chung SD, Wang KH, Huang CC, Lin HC. [cps.ca]

Contrasting molecular epidemiology of group A streptococci causing tropical and nontropical infections of the skin and throat [Internet]. J Infect Dis. 2000 Oct;182(4):1109–16. [karger.com]

Epidemiology, diagnosis, and treatment of scabies in a dermatology office. J Am Board Fam Med. 2017;30(1):78–84. 53. Park JH, Kim CW, Kim SS. The diagnostic accuracy of dermoscopy for scabies. Ann Dermatol. 2012;24(2):194–199. 54. [dovepress.com]

Drawing on experience with a patient who had successfully used short-term treatment creams in a preventive fashion, as well as a preventive model proposed in 2004, 7 the working group approved a provisional protocol to prevent recurrences of crusted scabies [mja.com.au]

“What we’re doing is recommending a preventive treatment,” said MacDonald. [globalnews.ca]

Where to Start You can obtain information on this topic from the Centers for Disease Control and Prevention (CDC). [rarediseases.info.nih.gov]

The Centers for Disease Control and Prevention were contacted and suggested a 7-dose regimen of ivermectin. The patient started to improve remarkably after the third dose, and the skin eruption was resolved after 7 doses. [jddonline.com]

In addition to the patient being treated, the environment must be thoroughly cleaned to remove infective eggs and mites to prevent reinfection ( 1 ). [jcm.asm.org]