Case history
Case history #1
A 75-year-old nursing home resident presents with a 2-month history of intensely pruritic, erythematous papules on his torso, groin, and extremities. He states that the pruritus is worse at night. He was treated with topical steroids and oral antihistamines without improvement. Other nursing home residents have similar complaints.
Case history #2
A 5-year-old boy who attends kindergarten presents with a 2-week history of generalized pruritus and erythematous papules in the finger web spaces, axillae, and groin. Due to his repetitive scratching, many of the lesions have secondary honey-colored crusting. No other family members are affected.
Other presentations
Norwegian, or crusted, scabies is primarily seen in immunocompromised or institutionalized patients, or those with neurologic disorders such as Down syndrome. It is characterized by hyperkeratotic lesions, predominantly on the palms and soles, which contain thousands to millions of mites.
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