Open AccessA case of hyperkeratotic crusted scabies
Author(s) -
Adrián Cuéllar-Barboza,
Jesús Alberto Cárdenasde la Garza,
José Alberto GarcíaLozano,
Adrián MartínezMoreno,
Gildardo Jaramillo-Moreno,
Jorge Ocampo Candiani
Publication year - 2020
Publication title -
plos neglected tropical diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.99
H-Index - 135
eISSN - 1935-2735
pISSN - 1935-2727
DOI - 10.1371/journal.pntd.0007918
Subject(s) - scabies , dermatology , sarcoptes scabiei , medicine , isolation (microbiology) , outbreak , feces , biology , pathology , ecology , microbiology and biotechnology
Author summary Patients who are immunocompromised or have cognitive or physical disabilities are at a higher risk of being affected with infections such as crusted scabies. This is a rare skin hyperinfestation by Sarcoptes scabiei var. hominis . The main characteristic of this dermatosis is a thick crust due to the high concentration of mites; in addition, other manifestations such as papules, excoriations, and burrows may be absent. In severe cases, thick yellow-brown crusts and plaques with deep fissures are present. Diagnosis can be made by observing mites, ova, or feces from skin scrapings. Multiple therapies can be used in patients with this condition. Management with patient isolation is important to prevent institutional outbreaks. This disease can have high mortality, primarily due to sepsis. Awareness of this condition and its serious consequences is important to reduce its mortality and morbidity.