Schlesinger I, Oelrich D M, Tyring S K
Department of Dermatology, University of Texas Medical Branch, Galveston.
South Med J. 1994 Mar;87(3):352-6. doi: 10.1097/00007611-199403000-00011.
Crusted (Norwegian) scabies in AIDS patients can be manifested in both typical and atypical forms. Although the classic, hyperkeratotic, nonpruritic lesions are most common, reported cases have ranged in spectrum from crusting with pruritus to a pruritic, papular dermatitis to those resembling Darier's disease or psoriasis. We report two additional cases of crusted scabies in AIDS patients, one with typical crusted, hyperkeratotic though pruritic lesions and one with severe pruritus and rare papules, initially misdiagnosed as "pruritus of AIDS." Because of the extremely contagious nature of crusted scabies, as well as its potential for complete cure with appropriate therapy, a high degree of suspicion for this disorder should be maintained in AIDS patients, even when the lesions do not have the classical appearance. The discovery of crusted scabies, whether in its common or its atypical form should prompt testing for the human immunodeficiency virus (HIV).
艾滋病患者的结痂性（挪威型）疥疮可表现为典型和非典型形式。虽然经典的、角化过度的、无瘙痒的皮损最为常见，但报告的病例范围广泛，从伴有瘙痒的结痂到瘙痒性丘疹性皮炎，再到类似 Darier 病或银屑病的皮损。我们报告另外两例艾滋病患者的结痂性疥疮病例，一例有典型的结痂、角化过度但伴有瘙痒的皮损，另一例有严重瘙痒和罕见丘疹，最初被误诊为“艾滋病瘙痒症”。由于结痂性疥疮具有极强的传染性，以及通过适当治疗有可能完全治愈，即使皮损不具有典型外观，对艾滋病患者也应高度怀疑这种疾病。无论结痂性疥疮是常见形式还是非典型形式，其发现都应促使对人类免疫缺陷病毒（HIV）进行检测。
