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Localized crusted scabies in the acquired immunodeficiency syndrome
Author(s) -
ARICÒ M.,
NOTO G.,
ROCCA K.,
PRAVATA G.,
BIVONA A.
Publication year - 1992
Publication title -
clinical and experimental dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.587
H-Index - 78
eISSN - 1365-2230
pISSN - 0307-6938
DOI - 10.1111/j.1365-2230.1992.tb00225.x
Subject(s) - dermatology , medicine , scabies , infestation , human immunodeficiency virus (hiv) , biopsy , lesion , pathology , immunology , biology , botany
Summary Crusted scabies (CrS) is an uncommon occurrence among patients with AIDS. Indeed to date only five cases have been described, all with widespread lesions. A case of localized CrS appearing as a yellowish and crusted plaque on the second right toe is reported in a woman with AIDS. Scraping off the verrucous surface, as well as punch‐biopsy revealed many mites within the horny layer. The infestation is related to the cutaneous immune response and thus CrS should be considered an opportunistic infestation in AIDS. The importance of the early diagnosis of CrS in order to prevent disseminated lesions and involvement of other health‐care workers is underlined.