Division of Dermatology, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, OH.
Dermatol Online J. 2020 Oct 15;26(10):13030/qt4c36775g.
Crusted scabies is a highly contagious variant of classic scabies. Affected individuals are often elderly or immunocompromised and disease is associated with significant morbidity and mortality. Herein, we report an elderly woman residing in an assisted living facility who presented with diffuse sand-on-skin scale on her trunk, proximal extremities, scalp, hands, and feet. She was diagnosed with crusted scabies, isolated from other patients, and subsequently treated with permethrin 5% lotion and ivermectin. She died two weeks after initial presentation owing to sepsis.
结痂性疥疮是经典疥疮的一种高度传染性变异。受影响的个体通常是老年人或免疫功能低下者，并且疾病与显著的发病率和死亡率相关。在此，我们报告了一位居住在辅助生活设施中的老年女性，她的躯干、近端肢体、头皮、手和脚都有弥漫性沙状鳞片。她被诊断为结痂性疥疮，与其他患者隔离，并随后用 5%的扑灭司林洗剂和伊维菌素进行治疗。她在初次就诊两周后因败血症去世。
