Images (7)
Scabies crustosaB86.x1
Synonym(s)
HistoryThis section has been translated automatically.
Danielssen and Boeck 1848; Hebra 1852
DefinitionThis section has been translated automatically.
In industrialized countries rare, excessive variant of the scabies with explosive reproduction of the scabies mites, severe eczematization up to pseudo-oichthyotic skin changes. There is a high infectivity due to the high pathogen density.
ManifestationThis section has been translated automatically.
Indicator disease in immunosuppression, e.g. in diabetes mellitus, after organ transplantation, leukemia, AIDS, cachexia, after long-term glucocorticoid or cytostatic therapy. Cases of scabies crustosa are also detected in patients who are deprived of adequate therapy for years.
LocalizationThis section has been translated automatically.
Clinical featuresThis section has been translated automatically.
HistologyThis section has been translated automatically.
General therapyThis section has been translated automatically.
External therapyThis section has been translated automatically.
No large studies are available on the therapy of Scabies norwegica. Initially, keratolytic pretreatment with 5-10% salicylic acid ointment(e.g., Salicylvaseline Lichtenstein, R228 ) for several days. For antiscabies therapy, permethrin is recommended in the majority of cases because it is easy to handle and well tolerated (regarding practical handling, see below Scabies). Permethrin treatment should be given daily for two weeks, but should be repeated at least once after 1 week.
Ivermectin and/or permethrin should be administered again if signs of active infestation persist after the second therapy (microscopic or dermoscopic evidence of active scabies mites).
Internal therapyThis section has been translated automatically.
The use of ivermectin (Driponin® 3 mg tablets; Scabioral®, 0.2mg/kg body weight) p.o. as a single dose, synchronized with external therapy, is recommended. Repeat therapy after 7 to 15 days.
Progression/forecastThis section has been translated automatically.
Note(s)This section has been translated automatically.
Remember! Before administration of ivermectin, written information and consent of the patient is recommended!
LiteratureThis section has been translated automatically.
- Katsumata K et al (2003) Norwegian scabies in an elderly patient who died after treatment with gamma BHC. Internal Med 42: 367-369
- Perna AG et al (2004) Localised genital Norwegian scabies in an AIDS patient. Sex Transm Infect 80: 72-73
- Rütten A et al (1990) Scabies norwegica or Scabies crustosa. Act Dermatol 16: 140-142
- Scheinfeld N (2004) Controlling scabies in institutional settings:a review of medications, treatment models, and implementation. At J Clin Dermatol 5: 31-37
- Terri L et al (1995) The treatment of scabies with ivermectin. N Engl J Med 333: 26-30
- Wlotzke U et al (1992) Scabies norvegica sive crustosa in a patient with AIDS. Dermatologist 43: 717-720
- Wong SS et al (2005) Unusual laboratory findings in a case of Norwegian scabies provided a clue to diagnosis. J Clin Microbiol 43: 2542-2544