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Image Number #1518 (Scabies crusted)

Diagnosis: Scabies crusted

Description: Crusted plaques and erosions

Morphology: Crusts

Site: Hand,palm

Sex: F

Age: 70

Type: Clinical

Submitted By: Shahbaz Janjua

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Differential Diagnosis
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History:

Crusted or Norwegian scabies was described in 1848 by Danielssen and Boeck as a severe form of human scabies characterized by the presence of thick crusted lesions containing a large number of parasites.  Crusted scabies usually develops in patients with defective T-cell immune response, or reduced cutaneous sensibility due to physical or mental debilitation.  Scabies can develop in association with transplantation, AIDS, T-cell leukemia or lymphoma and has been observed in patients with systemic lupus erythematosus, and dermatomyositis. Crusted scabies was also described in otherwise healthy individuals using potent topical coricosteroids. 

DermNetNZ   eMedicine   PubMed   Dermatology Online   Archives   JAAD for "Scabies crusted"

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